ASHLEY ANN DOMINIQUE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016066

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

ANN

Last Name

DOMINIQUE

Business Name

ASHLEY ANN DOMINIQUE

Original Issue Date

07/22/2013

Effective Date

10/10/2013

Expiration Date

11/30/2015

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016