DALE CHARLES NICKELSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000525

License Status

NOT RENEWED

Business

First Name

DALE CHARLES

Last Name

NICKELSEN

Suffix

DDS

Business Name

DALE CHARLES NICKELSEN DDS

Original Issue Date

11/18/1966

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

ELGIN

State

Zip

60120

County

KANE

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018