ELAINE ANNE TANCIOCO ROKOSZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932944

License Status

NOT RENEWED

Business

First Name

ELAINE

Middle

ANNE

Last Name

TANCIOCO ROKOSZ

Suffix

Business Name

ELAINE ANNE TANCIOCO ROKOSZ OD

Original Issue Date

04/12/2007

Effective Date

04/12/2007

Expiration Date

03/31/2008

City

DEER PARK

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008