| Licensee Name: | A & V MEDICAL SUPPLY |
| License Type: | Sanitizer |
| License Number: | 121172 |
| Registry Number: | CA 33411 |
| Expiration Date: | October 31, 1999 |
| Issue Date: | October 16, 1995 |
| Address: | 4644 HOLLYWOOD BLVD |
| City: | LOS ANGELES |
| State: | CA |
| Zip: | 90027 |
| County: | LOS ANGELES |
| Actions: | No |