RICHARD SCOT NICKLAS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019689

License Status

ACTIVE

Business

First Name

RICHARD SCOT

Last Name

NICKLAS

Business Name

RICHARD SCOT NICKLAS

Original Issue Date

07/29/1985

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/26/2024