| Date of birth: | May 1, 1946 |
| Hair: | Gray |
| Eyes: | Hazel |
| Docket no: | 1353608 |
| Complexion: | LGT |
| Birth place: | KY |
| Arrest date: | May 11, 2009 |
| Arresting agency: | CLEARWATER POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | FELONY |
| Statute: | 893.13(7)(A)(8)/F |
| Offense description: | VOP WITHHOLDING INFO FROM PRACTIONER |
| Obts: | 5207069074 |
| Court case: | CRC0718590CFANO |
| Charge number: | 1 |
| Agency report number: | CW09047684 |
| Statute: | 893.13(7)(A)(8)/F |
| Offense description: | DOCTOR SHOPPING |
| Obts: | 5206012788 |
| Court case: | CRC0718590CFANO |
| Charge number: | 1 |
| Agency report number: | SO07239377 |