| Date of birth: | Aug 15, 1983 |
| Hair: | Black |
| Eyes: | Brown |
| Docket no: | 1379233 |
| Complexion: | MED |
| Birth place: | CT |
| Arrest date: | Nov 4, 2009 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | FELONY |
| Statute: | 893.13(7)(A)(8)/F |
| Offense description: | WITHHOLDING INFORMATION FROM A PRACTITIONER |
| Obts: | 5207081861 |
| Court case: | CRC0923862CFANO |
| Charge number: | 1 |
| Bond assessed: | $5,000 |
| Bond amount: | $0 |
| Agency report number: | SO09268503 |