CARLA R GUTIERREZ DOMINGUEZ Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018983

License Status

ACTIVE

Business

First Name

CARLA

Middle

Last Name

GUTIERREZ DOMINGUEZ

Business Name

CARLA R GUTIERREZ DOMINGUEZ

Original Issue Date

11/23/2016

Effective Date

09/22/2025

Expiration Date

11/30/2027

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/22/2025