| Date of birth: | Nov 10, 1950 |
| Ethnicity: | White |
| Hair: | Gray |
| Eyes: | Brown |
| Sbi number: | 000623132D |
| Facility: | Released by Court - CRAF |
| Admission date: | Jun 10, 2011 |
| Release date: | Aug 25, 2013 |
| Booking location: | Gloucester County, NJ |
| Discharge date: | Jun 10, 2011 |
| Offense: | 1 count of : 2C:21-4 3C*2 Fraud:Health Care Claims/2 |
| Maximum term: | 3 Years |
| County: | Gloucester |
| Commit number: | GLO110400323A |