| Date of birth: | Jan 22, 1961 |
| Permanent location: | PINE GROVE |
| Inmate number: | KW7636 |
| Current location: | PINE GROVE |
| Complexion: | FAIR |
| Committing county: | BEAVER |
| Citizen: | USA |
| Country: | USA |
| Facility: | PITTSBURGH |
| Booked at: | BEAVER |
| Booking location: | Beaver County, PA |
| Jail name: | Pennsylvania Department of Corrections |
| Location: | 1920 Technology Pkwy, Mechanicsburg, PA 17050 |