JON D NICKELSEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

ACTIVE

Business

First Name

JON

Middle

Last Name

NICKELSEN

Suffix

DDS

Business Name

JON D NICKELSEN DDS

Original Issue Date

02/15/2005

Effective Date

08/17/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/17/2024