| Date of birth: | Oct 2, 1957 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 00106425 |
| Arresting agency: | Peoria County Sheriff's Office |
| Booking number: | 070026742 |
| Booking date: | Oct 5, 1998 |
| Release date: | Oct 5, 1998 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Charge: | ORAL PRESCRIPTION REQ/SUBQ |
| Charge desposition: | Other |
| Charge: | OBTAIN SUBSTANCE BY FRAUD/1ST |
| Charge desposition: | Other |