| Name | Glen Alan Tavis |
|---|---|
| Sex | male |
| Birth Date | October 10, 1956 |
| Death Date | May 16, 1993 |
| Age at Death | 36 years, 7 months, 6 days old |
| Birth Place | California |
| Death Place | Orange County, California |
| Mother's Maiden Name | Vanschoiack |
| Social Security Number | 555-17-8363 |