NICOLE S DOMINGUEZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010104

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

DOMINGUEZ

Business Name

NICOLE S DOMINGUEZ

Original Issue Date

06/13/2005

Effective Date

12/23/2013

Expiration Date

11/30/2015

City

WILMETTE

State

Zip

60091

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016