LUPE A DOMINQEZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003209

License Status

NOT RENEWED

Business

First Name

LUPE A

Last Name

DOMINQEZ

Business Name

LUPE A DOMINQEZ

Original Issue Date

03/09/1991

Expiration Date

11/30/1993

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2005