GIOVANNI INCANDELA DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

Title

DPM

First Name

GIOVANNI

Last Name

INCANDELA

Business Name

GIOVANNI INCANDELA DPM

Original Issue Date

07/21/2021

Effective Date

12/16/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025