| Licensee Name: | FONTANA MEDICAL SUPPLY |
| License Type: | Furniture and Bedding Retailer |
| License Number: | 105723 |
| Registry Number: | CA 31346 |
| Expiration Date: | September 30, 2007 |
| Issue Date: | September 11, 1991 |
| Address: | 7993 SIERRA AVENUE #C |
| P. O. BOX 2999 | |
| City: | FONTANA |
| State: | CA |
| Zip: | 92334-2999 |
| County: | SAN BERNARDINO |
| Actions: | No |