KAYLYN MARIE NICKELSON OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****04

License Status

ACTIVE

Business

Title

First Name

KAYLYN

Middle

MARIE

Last Name

NICKELSON

Business Name

KAYLYN MARIE NICKELSON OD

Original Issue Date

09/11/2018

Effective Date

03/06/2026

Expiration Date

03/31/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026