DANIEL ROBERT KOPOLOW Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000087

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

ROBERT

Last Name

KOPOLOW

Business Name

DANIEL ROBERT KOPOLOW

Original Issue Date

01/31/2002

Effective Date

09/27/2023

Expiration Date

09/30/2025

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/30/2025