License Directory

Annie Lysaris Bustamante

Active

California license 28539

License

Licensed by
California Board of Occupational Therapy
License number
28539
Status
Active (Current)
First issued
December 12, 2025
Expires
September 30, 2027
License holder
Annie Lysaris Bustamante
Entity type
Individual

Classifications

More from the license record

License type code
7101

Contact

9027 Ferndale Ave
Fontana, CA 92335-6017
San Bernardino County