BRADFORD VICTOR ENEIX DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001295

License Status

INACTIVE

Business

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

City

BELOIT

State

Zip

53511

County

WISCONSIN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/13/2005