| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| Supervision end date: | Jan 17, 2017 |
| Supervision begin date: | Jan 17, 2012 |
| Risk assessment rating: | Medium |
| Pid: | 284290 |
| Current location: | Harlan Office - Harlan County |
| Booking location: | Harlan County, KY |
| Sentence length: | 5 years 0 months 0 days |
| Offense: | FORGERY OF A PRESCRIPTION, 1ST OFFENSE |
| Krs code: | 218A.282 [1] |
| Indictment count: | 001 |
| Indictment: | 11CR140 |
| Felony class: | D |
| Crime date: | Mar 19, 2011 |
| Conviction county: | Harlan |
