| Date of birth: | Apr 18, 1960 |
| Supervising agent: | John Countryman |
| Oid number: | 109734 |
| Inmate status: | Supervised Release |
| Facility: | CIP COMM |
| Expiration date: | Dec 1, 2011 |
| Admit date: | Nov 12, 2003 |
| Release date: | Dec 5, 2005 |
| Booking location: | Beltrami County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | CON SUB 1-SALE-HALLUC-NOT APPLICABLE |
| Minnesota statute s: | 152 021 1 3 |
| Court file number: | K0-92-1193 |
| Conviction county: | BELTRAMI |
