| Date of birth: | 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Arresting agency: | Benton Co |
| Booking location: | Benton County, AR |
| Offense date: | Nov 29, 2012 |
| Court type: | Benton County Circuit Court Division I |
| Charge: | CONTROLLED SUBSTANCES FRAUDULENT PRACTICES |
| Bond type: | No Bond |
| Agency: | Bella Vista Police Department - Bella Vista - AR0042100 |