ALEXANDRA I B INCANDELA DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

Title

DPM

First Name

ALEXANDRA

Middle

I B

Last Name

INCANDELA

Business Name

ALEXANDRA I B INCANDELA DPM

Original Issue Date

11/21/2022

Effective Date

11/19/2024

Expiration Date

01/31/2027

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/19/2024