THOMAS KOPISKE Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000111

License Status

NOT RENEWED

Business

First Name

THOMAS

Last Name

KOPISKE

Business Name

THOMAS KOPISKE

Original Issue Date

03/28/2002

Effective Date

03/28/2002

Expiration Date

09/30/2003

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/30/2006