DAVID ARLEN VANCOPPENOLLE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011282

License Status

ACTIVE

Business

First Name

DAVID

Middle

ARLEN

Last Name

VANCOPPENOLLE

Business Name

DAVID ARLEN VANCOPPENOLLE

Original Issue Date

04/28/1999

Effective Date

07/15/2024

Expiration Date

09/30/2026

City

MINONK

State

Zip

61760

County

WOODFORD

Ever Disciplined

LastModifiedDate

07/15/2024