DOMINIQUE DIETZ Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021621

License Status

ACTIVE

Business

First Name

DOMINIQUE

Last Name

DIETZ

Business Name

DOMINIQUE DIETZ

Original Issue Date

09/17/2019

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

SAINT CHARLES

State

Zip

63301

County

MISSOURI

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/11/2025