| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 4911 88th Ave; Suite C; Kenosha, WI 53144; (262)653-6800 |
| Unit: | 2 15 |
| Pin number: | 821432 |
| Photo date: | Jan 11, 2010 |
| Inmate status: | REVOKED |
| Booking number: | 00554157 |
| Booking location: | Polk County, WI |
| Statute: | 943.201(2)(A) F |
| County: | WALWORTH |
| Convicted: | Jan 11, 2010 |
| Case number: | 09CF337 |