| Date of birth: | 1976 |
| Hair: | Brown-gray |
| Eyes: | Brown |
| Unit description: | 2646 N. Packerland Dr; P.O. Box 13457; Green Bay, WI 54307-3457; (920)492-5760 |
| Unit: | 4 13 |
| Pin number: | 865913 |
| Photo date: | Feb 1, 2011 |
| Inmate status: | REVOKED |
| Booking number: | 00569297 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M , 968.075(1)(A) |
| County: | BROWN |
| Convicted: | Jan 11, 2011 |
| Case number: | 10CM1698 |