| Date of birth: | Mar 18, 1966 |
| Permanent location: | RETREAT |
| Inmate number: | GW4659 |
| Current location: | RETREAT |
| Complexion: | LIGHT |
| Committing county: | LACKAWANNA |
| Citizen: | USA |
| Country: | USA |
| Facility: | RETREAT |
| Booked at: | MONROE |
| Booking location: | Lackawanna County, PA |
| Jail name: | Pennsylvania Department of Corrections |
| Location: | 1920 Technology Pkwy, Mechanicsburg, PA 17050 |