| Date of birth: | 1962 |
| Unit description: | 4160 N Port Washington Rd; Glendale, WI 53212; (414)229-0400 |
| Unit: | 3 32 |
| Pin number: | 796151 |
| Photo date: | Jul 20, 2009 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00546133 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC U |
| County: | OUT-OF-STATE |