BRADFORD VICTOR ENEIX DDS - Dentist License in Wisconsin | # 021001295

BRADFORD VICTOR ENEIX DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001295

License Status

INACTIVE

Business

N

First Name

BRADFORD VICTOR

Last Name

ENEIX

Suffix

DDS

Business Name

BRADFORD VICTOR ENEIX DDS

Original Issue Date

09/11/1986

Effective Date

09/11/1986

Expiration Date

09/30/1998

State

WI

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/13/2005