| Date of birth: | 1968 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 617 Peshtigo |
| Region unit agent: | 6 17 01 |
| Region description: | 101 Ogden RD; Suite B; Peshtigo, WI 54157; (715) 582-2150 |
| Doc: | 00639560 |
| Booking location: | Wisconsin |
| Statute: | UNKNOWN - IC , UNKNOWN - IC |
| County: | OUT-OF-STATE |