| Date of birth: | May 12, 1955 |
| Hair: | Gray |
| Eyes: | Hazel |
| Sbi number: | 000421926D |
| Facility: | Released by Court - CRAF |
| Admission date: | Jul 29, 2005 |
| Booking location: | Somerset County, NJ |
| Discharge date: | Aug 1, 2005 |
| Offense date: | Sep 23, 2004 |
| Offense: | 1 count of : 2C:21-4 3A*2 Fraud:Health Care Claims/2 |
| Maximum term: | 3 Years |
| County: | Somerset |
| Commit number: | 05-05-00439-A |