| Date of birth: | Apr 6, 1972 |
| Hair: | Brown |
| Eyes: | Hazel |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | Jan 5, 2011 |
| Scheduled termination date: | Jan 4, 2015 |
| Inmate status: | ACTIVE |
| DC number: | H36804 |
| Registered felon date: | Jan 5, 2011 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-025008 |
| Booking date: | Nov 11, 2013 |
| Release date: | Nov 11, 2013 |
| Booking location: | Polk County, FL |
| Booking location: | Polk County, FL |
| Statute: | 893.13(7A8) FRAUD-CONCEAL INFO TO OBTAIN PRESCRIPTION |
| Charge on arrest docket: | WITHHOLD INFO PRACTIONER/OBT CONT SUBSTA |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PC20108317 |
| Bond exp: | SBN# PC2-01083173 FOR $1000.00 |
| Bond amount: | $1,000 |
