BRADFORD VICTOR ENEIX DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

BRADFORD VICTOR

Last Name

ENEIX

Suffix

DDS

Business Name

BRADFORD VICTOR ENEIX DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

BELOIT

State

Zip

53511

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005