Glenn Immanuel Kolluri
ExpiredCalifornia license A67421
License
- Licensed by
- Medical Board of California
- License number
- A67421
- Status
- Expired (Delinquent)
- First issued
- January 22, 1999
- Expired
- August 31, 2026
- License holder
- Glenn Immanuel Kolluri
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1 San Gabriel Ln
Palm Coast, FL 32137-2293
Palm Coast, FL 32137-2293
Flagler County