| Date of birth: | Jan 28, 1955 |
| Hair: | Brown |
| Eyes: | Gray |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | Jan 31, 2014 |
| Scheduled termination date: | Jul 30, 2015 |
| Inmate status: | ACTIVE |
| DC number: | I42367 |
| Current location: | LAKE CITY |
| Booking location: | Broward County, FL |
| Discharge date: | Jan 31, 2014 |
| Offense date: | Sep 27, 2012 |
| Offense: | PRAC.HEALTH CARE W/O LIC |
| County: | BROWARD |
| Community supervision length: | 1Y 6M 0D |
| Case number: | 1214471 |