| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Work address: | SELF EMPLOYED, 203 WEST MAIN STREET, TAZEWELL, VA 24651 |
| Violent: | Yes |
| Registration renewed date: | Oct 10, 2013 |
| Registration id: | 17196 |
| Palm print: | On File |
| Initial registration date: | Jun 6, 2005 |
| Home address: | 138 NEW HAVEN ROAD, NORTH TAZEWELL, VA 24630 |
| Finger print: | On File |
| Booked at: | TAZEWELL CO |
| Booking location: | Tazewell County, VA |
| Victim age: | Minor |
| Statute: | AGGRAVATED INDECENT ASSAULT |
| State convicted: | PA |
| Sentencing court: | HARRISBURG PA |
| Code section: | 18Pa. C.S.3125 |