JON D NICKELSEN DDS - Dentist License in Illinois | # 019026638

JON D NICKELSEN DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026638

License Status

ACTIVE

Business

N

First Name

JON

Middle

D

Last Name

NICKELSEN

Suffix

DDS

Business Name

JON D NICKELSEN DDS

Original Issue Date

12/21/2004

Effective Date

08/17/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/17/2024