| Date of birth: | 1957 |
| Hair: | White |
| Eyes: | Brown |
| Unit description: | 1340 E. Green Bay St; Suite 200; Shawano, WI 54166-2198; (715)526-2159 |
| Unit: | 6 15 |
| Pin number: | 861312 |
| Photo date: | Jan 10, 2011 |
| Maximum discharge date: | Apr 13, 2014 |
| Institution: | Supervised Living Facility |
| Inmate status: | INCARCERATED |
| Booking number: | 00567512 |
| Release date: | Apr 13, 2012 |
| Booking location: | Polk County, WI |
| Statute: | 346.63(1)(A) F |
| County: | SHAWANO |
| Convicted: | Dec 1, 2010 |
| Case number: | 09CF101 |