GARY SCOTT NICKERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001722

License Status

ACTIVE

Business

First Name

GARY SCOTT

Last Name

NICKERSON

Business Name

GARY SCOTT NICKERSON

Original Issue Date

10/06/1994

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

MOKENA

State

Zip

60448

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

08/23/2024