| Date of birth: | Sep 23, 1951 |
| Hair: | Brown |
| Eyes: | Blue |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | Feb 27, 2014 |
| Scheduled termination date: | Feb 26, 2017 |
| Inmate status: | ACTIVE |
| DC number: | 224875 |
| Current location: | FT. MYERS |
| Booking location: | Charlotte County, FL |
| Discharge date: | Feb 27, 2014 |
| Offense date: | Dec 28, 2012 |
| Offense: | ESTAB.UNLIC.CLINIC/FALS.INFO |
| County: | CHARLOTTE |
| Community supervision length: | 3Y 0M 0D |
| Case number: | 1301995 |