| Date of birth: | Aug 2, 1963 |
| Hair: | Black |
| Eyes: | Brown |
| Facility: | Robert Presley Detention Cente |
| Case number: | 11/0339033D |
| Bail amount: | $55,000 |
| Arresting agency: | CA HEALTH CARE SERVICES |
| Arrest date: | Feb 22, 2012 |
| Arrest location: | 735 S. D ST PERRIS, CA |
| Booking number: | 201207732 |
| Booking date: | Feb 22, 2012 |
| Release date: | Feb 27, 2012 |
| Booking location: | Riverside County, CA |
| Type: | FEL |
| Description: | OBT CONTR SUBS FRAUD |
| Charge: | 11173(A) |
| Booking type: | H&S |
| Bond amount: | $55,000 |