| Date of birth: | 1986 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 427 East Tower Drive Suite 300; Wautoma, WI 54982-6927; (920)787-4406 |
| Unit: | 8 13 |
| Pin number: | 573616 |
| Photo date: | Nov 12, 2010 |
| Maximum discharge date: | Sep 2, 2013 |
| Inmate status: | REVOKED |
| Booking number: | 00465585 |
| Release date: | Sep 2, 2010 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 947.01 M , 948.03(3)(C) F |
| County: | WAUSHARA |
| Convicted: | Jul 12, 2004 |
| Case number: | 03CF00072 |