Assuming that the column EnRID is a unique row id, try this:
UPDATE Enrollment SET ISMID = NULL
WHERE Enrid IN (SELECT MIN(E.ENRID)
FROM ENROLLMENT E INNER JOIN
(SELECT ismid, Mydate
FROM enrollment
WHERE ismid IS NOT NULL AND active = 1
GROUP BY ismid, Mydate
HAVING COUNT(*) > 1) x ON E.IsMid = X.IsMid AND E.MyDate = X.MyDate
GROUP BY E.IsMid, E.MyDate
)
AND ACTIVE = 1
Have a great day
Wayne