MERYL G DOMINA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150003461

License Status

NOT RENEWED

Business

First Name

MERYL G

Last Name

DOMINA

Business Name

MERYL G DOMINA

Original Issue Date

04/28/1990

Effective Date

11/30/2015

Expiration Date

11/30/2017

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018