CHAD MICHAEL ENNIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167437

License Status

ACTIVE

Business

Title

First Name

CHAD

Middle

MICHAEL

Last Name

ENNIS

Business Name

CHAD MICHAEL ENNIS MD

Original Issue Date

10/23/2023

Effective Date

10/23/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53792

Ever Disciplined

LastModifiedDate

10/23/2023