License holder summary

JILLIAN J NICKELSEN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for JILLIAN J NICKELSEN is SALT LAKE CITY, UT 84103. This licensed professional license is not current. The license was granted 09/18/1996 and expired on 04/30/2000.

Utah

Division of Occupational and Professional Licensing

JILLIAN J NICKELSEN
Physician - Physician & Surgeon
License number
328456-1205
Date granted
09/18/1996
Date expires
04/30/2000
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84103
utahlicensing.org
ID 29926412
LAST UPDATED 2026-04-10 08:37:48 UTC

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