| Date of birth: | 1975 |
| Hair: | Brown |
| Eyes: | Brown |
| Work address: | LEVIN COULBOURN, 326 GRAY AVENUE, STAUNTON, VA 24401 |
| Violent: | Yes |
| Registration renewed date: | Nov 12, 2013 |
| Registration id: | 9578 |
| Palm print: | On File |
| Initial registration date: | Mar 17, 1999 |
| Home address: | 1993 HEWITT ROAD, SWOOPE, VA 24479 |
| Finger print: | On File |
| Booked at: | AUGUSTA CO |
| Booking location: | Augusta County, VA |
| Statute: | VIOLENT SEX OFFENDER FAIL TO REGISTER |
| State convicted: | VA |
| Sentencing court: | WAYNESBORO CIRCUIT |
| Code section: | 18.2-472.1 |
| Case number: | 820CR0000034900 |
| Statute: | AGGRAVATED SEXUAL BATTERY |
| State convicted: | VA |
| Sentencing court: | STAUNTON CIRCUIT |
| Code section: | 18.2-67.3 |
