| Date of birth: | Apr 2, 1945 |
| Obts: | 5003343454 |
| Jacket number: | 0444038 |
| Holds for other agencies: | No |
| Facility: | SURETY BOND |
| Arresting agency: | 01-PBSO |
| Booking number: | 2013013114 |
| Booking date: | Mar 27, 2013 |
| Release date: | Mar 28, 2013 |
| Booking location: | Palm Beach County, FL |
| Description: | HEALTH-SAFETY - PRACTICE WO LIC OR W SUSP RVKD VOID LIC |
| Charge number: | 456.065-5326 |
| Bond amount: | $3,000 |