ELAINE ANNE TANCIOCO ROKOSZ OD - Optometrist License in Illinois | # 047930199

ELAINE ANNE TANCIOCO ROKOSZ OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930199

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

05/26/2004

Effective Date

05/26/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006