CAROLYN MASHELLE DOMONT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008759

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

MASHELLE

Last Name

DOMONT

Business Name

CAROLYN MASHELLE DOMONT

Original Issue Date

01/29/2002

Effective Date

11/03/2015

Expiration Date

11/30/2017

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018