ELAINE ANNE TANCIOCO ROKOSZ OD - Optometrist License in Illinois | # 047929730

ELAINE ANNE TANCIOCO ROKOSZ OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929730

License Status

NOT RENEWED

Business

N

First Name

ELAINE

Middle

ANNE

Last Name

TANCIOCO ROKOSZ

Suffix

OD

Business Name

ELAINE ANNE TANCIOCO ROKOSZ OD

Original Issue Date

09/24/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005