| Date of birth: | Nov 8, 1954 |
| Hair: | Black |
| Eyes: | Brown |
| Status: | RELS |
| Release date: | May 7, 2012 |
| City of birth: | QUEENS |
| Cin: | 529913 |
| Build: | SLIM |
| Booking number: | 201206149 |
| Booking date: | May 7, 2012 |
| Bn: | 176190 |
| Birth place: | NY |
| Arrest date: | May 7, 2012 |
| Arresting agency: | PASCO CO SO |
| Booking location: | Pasco County, FL |
| Arresting agency: | PASCO CO SO |
| Arrest date: | May 7, 2012 |
| Arrest type: | ON VIEW |
| Dispo type: | BOND |
| Court case: | CRC1203280CFAWS |
| Code: | 893.13.7.A.8 |
| Charge seq: | 1 |
| Charge description: | WITHHOLDING INFO FROM A DOCTOR |
| Bond amount: | $2,000 |
| Arrest seq: | 1 |
