| Date of birth: | 1985 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 716 Jefferson |
| Region unit agent: | 7 16 04 |
| Region description: | 163 Rockwell ST; Jefferson, WI 53549 |
| Doc: | 00644584 |
| Booking location: | Wisconsin |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |