DANIEL H FAGERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091819

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

FAGERSON

Suffix

Business Name

DANIEL H FAGERSON MD

Original Issue Date

09/14/1995

Effective Date

08/22/2011

Expiration Date

07/31/2014

City

SAN DIEGO

State

Zip

92109

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014