| Date of birth: | 1983 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 415 |
| Region unit agent: | 4 15 14 |
| Region description: | 5600 Grande Market DR; Appleton, WI 54913; (920) 997-1480 |
| Doc: | 00640017 |
| Booking location: | Wisconsin |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |