ROXANNE B DOMINIS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150007516

License Status

NOT RENEWED

Business

First Name

ROXANNE

Middle

Last Name

DOMINIS

Business Name

ROXANNE B DOMINIS

Original Issue Date

10/20/1998

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008