| Date of birth: | Feb 12, 1957 |
| Hair: | Black |
| Eyes: | Brown |
| Photo date: | Aug 24, 2010 |
| Id number: | 280793 |
| Arrest date: | Aug 24, 2010 |
| Booking number: | 650136 |
| Release date: | Aug 25, 2010 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | HEALTH-SAFETY PRACTICE WO LIC OR W SUSP RVKD VOID LIC |
| Court: | Circuit Court |
| Case number: | 10CF018754 |
| Agency: | LCSO |