| Date of birth: | Oct 4, 1942 |
| Hair: | Brown |
| Eyes: | Blue |
| Release date: | Jul 19, 2010 |
| Inmate status: | RELS |
| City of birth: | UNK |
| Cin: | 518269 |
| Build: | MED |
| Booking number: | 201009418 |
| Booking date: | Jul 16, 2010 |
| Bn: | 143975 |
| Birth place: | NE |
| Arrest date: | Jul 16, 2010 |
| Arresting agency: | PASCO CO SO |
| Booking location: | Pasco County, FL |
| Arresting agency: | PASCO CO SO |
| Arrest date: | Jul 16, 2010 |
| Arrest type: | ON VIEW |
| Dispo type: | BOND |
| Court case: | CRC1004556CFAWS |
| Code: | 893.13.7.A.8 |
| Charge seq: | 1 |
| Charge description: | WITHHOLDING INFO FROM A DOCTOR |
| Bond amount: | $2,000 |
| Arrest seq: | 1 |
