ANNA M DOMINOV Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022470

License Status

ACTIVE

Business

First Name

ANNA

Middle

Last Name

DOMINOV

Business Name

ANNA M DOMINOV

Original Issue Date

08/25/2020

Effective Date

11/12/2025

Expiration Date

11/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/12/2025