BRADFORD VICTOR ENEIX DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015866

License Status

INACTIVE

Business

First Name

BRADFORD VICTOR

Last Name

ENEIX

Suffix

DDS

Business Name

BRADFORD VICTOR ENEIX DDS

Original Issue Date

06/09/1977

Effective Date

06/09/1977

Expiration Date

09/30/1998

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005