| Date of birth: | Mar 27, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1352923 |
| Complexion: | MED |
| Birth place: | OH |
| Arrest date: | May 6, 2009 |
| Arresting agency: | TARPON SPRINGS POLICE |
| Booking location: | Pinellas County, FL |
| Description: | scar left shin. |
| Booking type: | FELONY |
| Statute: | 893.13(7)(A)(7)/F |
| Offense description: | VOP OBTAINING CONT. SUBS. BY FRAUD |
| Obts: | 5207068715 |
| Court case: | CRC0800921CFANO |
| Charge number: | 1 |
| Agency report number: | TS09001513 |
| Statute: | 893.13(7)(A)(8)/F |
| Offense description: | VOP WITHHOLDING INFO FROM PRACTITIONER |
| Obts: | 5207068715 |
| Court case: | CRC0826901CFANO |
| Charge number: | 2 |
| Agency report number: | TS09001513 |
| Statute: | 322.34(2)(A)/M |
| Offense description: | DWLSR |
| Obts: | 5207068715 |
| Court case: | CTC090508FTUANC |
| Charge number: | 3 |
| Agency report number: | TS09001513 |