NICOLE M JENSEN OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****46

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

JENSEN

Suffix

Business Name

NICOLE M JENSEN OD

Original Issue Date

08/01/2011

Effective Date

03/16/2024

Expiration Date

03/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026