DOMINIQUE LATRICE SMITH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019945

License Status

ACTIVE

Business

First Name

DOMINIQUE

Middle

LATRICE

Last Name

SMITH

Business Name

DOMINIQUE LATRICE SMITH

Original Issue Date

12/08/2017

Effective Date

11/29/2025

Expiration Date

11/30/2027

City

HAMMOND

State

Zip

46324

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/29/2025