ANDRES LUCIANO CANEVA DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000996

License Status

CANCELLED

Business

Title

DPM

First Name

ANDRES

Middle

LUCIANO

Last Name

CANEVA

Business Name

ANDRES LUCIANO CANEVA DPM

Original Issue Date

06/06/2018

Effective Date

06/25/2018

Expiration Date

06/25/2021

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/30/2018