SALLY SUZANNE AGERSBORG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122163

License Status

NOT RENEWED

Business

Title

First Name

SALLY

Middle

SUZANNE

Last Name

AGERSBORG

Business Name

SALLY SUZANNE AGERSBORG MD

Original Issue Date

10/31/2008

Effective Date

10/26/2017

Expiration Date

09/30/2020

City

LADERA RANCH

State

Zip

92694

Ever Disciplined

LastModifiedDate

03/19/2025