| Date of birth: | Dec 14, 1980 |
| Ethnicity: | AMERICAN (US) |
| Permanent location: | RETREAT |
| Inmate number: | KQ0376 |
| Current location: | RETREAT |
| Complexion: | MEDIUM |
| Committing county: | LACKAWANNA |
| Citizen: | USA |
| Arresting agency: | NORTH MYRTLE BEACH PD |
| Booking number: | NM11211602249 |
| Booking date: | Nov 22, 2016 |
| Booking location: | Horry County, SC |
| Booking location: | Lackawanna County, PA |