| Date of birth: | Jul 10, 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 08004173 |
| Booking number: | B08002503 |
| Booking date: | Jul 23, 2008 |
| Booking age: | 1955 |
| Release date: | Jul 23, 2008 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | WITHHOLDING INFORMATION FROM PRACTITIONER |
| Violation code: | 893.13(8) |
| Obts: | 6601029740 |
| Charge number: | 1 |
| Arrest location: | WALTON COUNTY JAIL |
| Arrest date: | Jul 23, 2008 |
| Agency case: | 0806060041 |
