| Licensee Name: | WESTSIDE HOME MEDICAL EQUIPMENT |
| License Type: | Sanitizer |
| License Number: | 121661 |
| Registry Number: | CA 33587 |
| Expiration Date: | February 28, 1998 |
| Issue Date: | February 09, 1996 |
| Address: | 11540 SANTA MONICA BLVD |
| City: | LOS ANGELES |
| State: | CA |
| Zip: | 90025 |
| County: | LOS ANGELES |
| Actions: | No |