| Date of birth: | 1968 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 716 Beaver Dam |
| Region unit agent: | 7 16 01 |
| Region description: | 220 Seippel BLVD; Suite 2; Beaver Dam, WI 53916 |
| Doc: | 00646090 |
| Booking location: | Wisconsin |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |