| Date of birth: | 1968 |
| Unit description: | 1310 N 14th Street; Suite 260; Superior, WI 54880-0848; (715)392-7915 |
| Unit: | 5 06 |
| Pin number: | 869526 |
| Photo date: | Apr 29, 2011 |
| Inmate status: | REVOKED |
| Booking number: | 00570895 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M |
| County: | DOUGLAS |
| Convicted: | Mar 3, 2011 |
| Case number: | 10CF163 |