GIOVANNI INCANDELA DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001010

License Status

EXPIRED

Business

Title

DPM

First Name

GIOVANNI

Last Name

INCANDELA

Business Name

GIOVANNI INCANDELA DPM

Original Issue Date

06/13/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/18/2022