Anisha Kurukulasuriya Sebastian
ActiveCalifornia license 104397
License
- Licensed by
- Dental Board of California
- License number
- 104397
- Status
- Active (Current)
- First issued
- September 4, 2019
- Expires
- May 31, 2028
- License holder
- Anisha Kurukulasuriya Sebastian
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
11761 Chimineas Ave
Porter Ranch, CA 91326-3613
Porter Ranch, CA 91326-3613
Los Angeles County