ELAINE ANNE TANCIOCO ROKOSZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925864

License Status

CANCELLED

Business

First Name

ELAINE

Middle

ANNE

Last Name

TANCIOCO ROKOSZ

Suffix

Business Name

ELAINE ANNE TANCIOCO ROKOSZ OD

Original Issue Date

09/09/1998

Effective Date

07/23/1999

Expiration Date

03/31/2000

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005