DOMINIQUE K. JACKSON Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149028567

License Status

ACTIVE

Business

First Name

DOMINIQUE

Middle

Last Name

JACKSON

Business Name

DOMINIQUE K. JACKSON

Original Issue Date

12/31/2024

Effective Date

11/15/2025

Expiration Date

11/30/2027

City

VALPARAISO

State

Zip

46385

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/15/2025