department of public health

STATE OF CALIFORNIA-HEALTH AND HUMAN SERVICES AGENCY

DEPARTMENT OF PUBLIC HEALTH 850 Marina Bay Parkway. Bldg P.1®! Floor

I`i¢hmond. CA 94804Ji403 (510) 620-3800

Dear Tissue Bank:

Attached below is your tissue bank license. Your license is void after the expiration date. NOTE: Application for renewal Of liceiise must l}e filed

with the department not less than 30 davs prior to its expiration date and shall be accompanied by the annual rrenewal fee. (CA H&S Code §16392) FORFEITURE 0F LICENSE A Tissue Bank license shall be forfeited by operation Of la\^/

SAN DIEGO EYE BANK 9246 LIGHTWAVE AVENUE, SulTE 120 SAN DIEGO, CA 92123

pprior to its expiration date `Arhen one Of the following occurs: (1) The tissue bank is sold or otherwise transferred.

(2) The license is surrendered to the state department.

QUESTIONS AND INFORMATION:

ATTN: JEFFREY G. PENTA, MBA

If you have any questions, please write to:

STATE 0F CALIFORNIA DEPT. OF PUBLIC HEALTli

Laboratory Field Services 850 Marina Bay Parkway, Bldg P,1st Floor Richmond, CA 94804-6403

Thank you for your cooperation.

Tear Here

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