| Date of birth: | Jul 4, 1977 |
| Ethnicity: | WHITE |
| Hair: | Brown |
| Eyes: | Brown |
| Booking location: | San Mateo County, CA |
| Booking number: | WER267 |
| Jail name: | Illinois State Police |
| Location: | 9511 Harrison St, Des Plaines, IL 60016 |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |