| Date of birth: | Jan 18, 1957 |
| Hair: | Gray |
| Eyes: | Blue |
| Photo date: | Apr 18, 2013 |
| Id number: | 304544 |
| Arrest date: | Apr 18, 2013 |
| Booking number: | 745793 |
| Release date: | Apr 19, 2013 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | FRAUD (CONCEAL INFO TO OBTAIN PRESCRIPTION) |
| Court: | County Court |
| Counts: | 1 |
| Case number: | 13CF015720 |
| Bond type: | Cash/Surety |
| Bond paid: | 2013-04-19 |
| Bond amount: | $1,500 |
| Agency: | LCSO |