| Date of birth: | Jan 2, 1944 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| Jacket number: | 0457971 |
| Holds for other agencies: | No |
| Initial receipt date: | Oct 2, 2014 |
| Facility: | SANTA ROSA C.I. |
| DC number: | E52257 |
| Current custody: | MEDIUM |
| Arresting agency: | BCSO |
| Arrest date: | Sep 29, 2014 |
| Booking location: | Brevard County, FL |
| Arresting agency: | BCSO |
| Arrest date: | Jun 14, 2014 |
| Booking location: | Brevard County, FL |
| Arresting agency: | 01-PBSO |
| Booking number: | 2014024169 |
| Booking date: | Jun 11, 2014 |
| Booking location: | Palm Beach County, FL |
| Release date: | Aug 3, 2016 |
| Booking location: | Brevard County, FL |
| Sentence length: | 2Y 0M 0D |
| Discharge date: | Sep 29, 2014 |
| Offense date: | May 9, 2012 |
| Offense: | MEDICAID PROVIDER FRAUD |
| County: | BREVARD |
| Case number: | 1430036 |
| Description: | FRAUD-FALSE STATEMENT MAKE FALSE MEDI |
| Description: | FRAUD-FALSE STATEMENT FOR ACCEPTANCE |
| Description: | HEALTH-SAFETY PRACTICE WO LIC OR W SU |
| Description: | PERJURY NOT IN OFFICIAL PROCEEDING |
| Statute: | 901.04-6265 |
| Charge: | OUT-OF-COUNTY WARRANT - |
| Bond amount: | $0 |
