| Date of birth: | Feb 20, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1303488 |
| Complexion: | MED |
| Birth place: | NY |
| Arrest date: | May 14, 2008 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | FELONY |
| Statute: | 784.076/F |
| Offense description: | BATTERY ON MEDICAL CARE PROVIDER |
| Obts: | 5206027112 |
| Court case: | CRC0810604CFANO |
| Charge number: | 1 |
| Agency report number: | SO08115316 |