| Date of birth: | 1963 |
| Unit description: | 2565 E. Johnson St; Madison, WI 53704; (608)243-3300 |
| Unit: | 1 02 |
| Pin number: | 842110 |
| Photo date: | Jul 13, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00561240 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC U |
| County: | OUT-OF-STATE |