License Directory

Anthony Suseelkanth Koppula

Active

California license A100501

License

Licensed by
Medical Board of California
License number
A100501
Status
Active (Current)
First issued
June 20, 2007
Expires
June 30, 2027
License holder
Anthony Suseelkanth Koppula
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

14445 Olive View Dr
Sylmar, CA 91342-1437
Los Angeles County