ANDRES LUCIANO CANEVA DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

Title

DPM

First Name

ANDRES

Middle

LUCIANO

Last Name

CANEVA

Business Name

ANDRES LUCIANO CANEVA DPM

Original Issue Date

02/20/2021

Effective Date

11/18/2024

Expiration Date

01/31/2027

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025