ELAINE ANNE TANCIOCO ROKOSZ OD - Optometrist License in Illinois | # 047925864

ELAINE ANNE TANCIOCO ROKOSZ OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925864

License Status

CANCELLED

Business

N

First Name

ELAINE

Middle

ANNE

Last Name

TANCIOCO ROKOSZ

Suffix

OD

Business Name

ELAINE ANNE TANCIOCO ROKOSZ OD

Original Issue Date

09/09/1998

Effective Date

07/23/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005