| Date of birth: | Feb 7, 1959 |
| Hair: | Bald |
| Eyes: | Brown |
| Tid: | 00423684 |
| Supervision site: | PHILLIPS, DERRICK |
| Residential county: | SHELBY |
| Probation/Parole officer: | SHELBY CO SO |
| License state: | TN |
| Last registration report date: | Feb 4, 2014 |
| Last date information updated: | Feb 4, 2014 |
| Inmate status: | ACTIVE |
| Drivers license number: | 051391306 |
| Classification: | SEXUAL |
| Booking location: | Shelby County, TN |
| Description: | STATUTORY RAPE |
| Date: | Dec 15, 2005 |
| Charges: | N/A |