| Date of birth: | Sep 12, 1949 |
| Hair: | Gray |
| Eyes: | Brown |
| Docket no: | 1424868 |
| Complexion: | MED |
| Birth place: | IL |
| Arrest date: | Sep 30, 2010 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking type: | FELONY |
| Statute: | 893.13(7)(A)(8)/F |
| Offense description: | DOCTOR SHOPPING |
| Obts: | 5206080325 |
| Court case: | CRC1021615CFANO |
| Charge number: | 1 |
| Agency report number: | SO10279954 |