| Date of birth: | Jun 11, 1974 |
| Spn: | 94602 |
| Booking location: | Leon County, FL |
| Statute: | 456.065 2D1 |
| Release date: | Nov 2, 2009 |
| Offense date: | Oct 12, 2009 |
| Clerk case: | 2009CF3684A1 |
| Charge literal: | UNLICENSED PRACTICE OF A HEALTH CARE PROFESSION |
| Booking date: | Nov 2, 2009 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | 090250818 |