Pancho - LOP-LEO-90

Code: LOP-LEO-90
Mercy ID: V-00089-21
Encounter Date: 11/30/2005
Last: Lopez
First: Leonardo
DOB: 05/08/1990
County: Gwinnett
Street: 5665 Bladwin
City: Norcross
State: GA

Zip

30071-

Cell

(678) 732-7363

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Lopez	11/15/1971	Mexico
Father	Mariano Arellano	02/15/1966	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Volunteer
Data Entry: R. Gonzalez