| Date of birth: | Sep 4, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1205542 |
| Complexion: | MED |
| Birth place: | NY |
| Arrest date: | Aug 9, 2006 |
| Arresting agency: | LARGO POLICE DEPT. |
| Booking location: | Pinellas County, FL |
| Booking type: | FELONY |
| Statute: | 893.13(7)(A)(9)/F |
| Offense description: | VOP OBT DRUGS BY FRAUD |
| Obts: | 5202121444 |
| Court case: | CRC0510811CFANO |
| Charge number: | 1 |
| Agency report number: | LA06059804 |