Annie Lysaris Bustamante
ActiveCalifornia 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
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
9027 Ferndale Ave
Fontana, CA 92335-6017
Fontana, CA 92335-6017
San Bernardino County