CA Wall License 3360 Information
| Name | Bruce Gustafson |
| License Number | 3360 |
| Individual or Organization | O |
| Address | 3218 18th Street
Santa Monica, CA 90405 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 7/29/2022 |
| License Expiration Date | 7/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |