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V.., ... , IV. LVVV I'JiIIYI VUI\ III\" U I \"U I .1 /II", OFFIiNnR< 1.0. DATAnv. LVVJ I, J C;:TlITI< n~WA'nll~lr.Tnlll DEPARTMEMiOF COR~ECjJONS Medicinal Use of Marijuana Verification . . r'~pY .befllJedOutb.. Ỵ c;,..=..co=."=-" --_. -----~.'-..--,.- ~:--' ___-'-t~~" " ,--''''f1[1f:*_- To be filled out by Prescriber: Dear Prescriqer,. Oy :,ldlt::: ",t.:1tuL.. IIle W ..",liilll;llv" Qlate Dcpa"b·,' ....,\[ ~ Cor~iQn" b e"~rs~d ·,... i~" the rcoponoibility to ouporvioa t;omwt;:1 Lu ~u .... liull J it> "V..,,,", Jug6 r.~/llIk
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STATE OF WASHINGTON DEPARTMENT OF C
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RECORDS PROVIDED WITH REDACTIONS ~~
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(".- " ~"""'":.~ Inr ... ~ STATEOFW
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i ( Documentation of Physician Auth
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Distefano, Monica J. (DOC) From: Se
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eRR Medical, Il1c 3115 E. Mission A
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Fax : ' 3115,E. Mission Ave Spokane
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Or-FENDER 1.0. DATA, j' STATE OF WA
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DoCumentation of Medical AuthoriZat
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STATE OF WASHINGTON DEPA'RTMENTOF C
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311S'E. Mission Ave Spokane, WA 992
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j I Documentation of MedicarAuthcir
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Chapter 69.51 A RCW: Medical marij1
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Chapter 69.S1A RCW: Medical marijua
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Chapter 69.511). RCW: Medical111ari
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OFFENDER 1.0. DATA: STATE OF WASHIN
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Prescriber's Name (Print) License#:
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3115 E. Mission Ave Spokane, WA 992
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. ! STATE OF WASHINGTON DEPARTMENT
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STATE OF WASHINGTON .DEPARTMENT OF
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T.)' ~x.. MARIJUANA MEDICINE'· 'EV
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Wheeler, Judine L. (DOC) From: Sent
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OMNI: Chrollos Quick Search , •
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Prescdbar's Name (pnnt) . Prasc~jje
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I I do ncit want to ruffle feathers
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Interpretation of Medical Marijuana
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From: Sent: To: Duggan, Brenda J. (
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NIELSEN TO COME UPSTAIRS. CCO NIELS
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Date & Tirpe Created: 12/16/2008 11
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PRIMARY CARE PHYSICIAN AND LOOKED O
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Distefano, Monica J; (DOC) From: Se
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3. High Non-Violent 4. Moderate, an
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Page 111 and 112: I FW: 380200 Community Supervision
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Page 155 and 156: 11/06/2008 13:05 - PAGE ./"""-1. II
Page 157 and 158: I:--- j ! -_. Distefano, MonicaJ. (
Page 159: Dec .. l0. 2008 1:34PM CBR Medical
Page 165 and 166: Stern, Marc F. 'Dir Hlth Svc' (~OC)
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Page 169 and 170: I J i Date License type: Prescriber
Page 171 and 172: Distefano, Monica J: (DOC) From: Se
Page 173 and 174: STATE OF WASHINGTON DEPARTMENT OF C
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Page 189 and 190: .Distefano, Monica J. (DOC) From: S
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Page 195 and 196: STATE OF WASHINGTON DEPARTMENT OF C
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Page 199 and 200: ., FAX No. 509-921-2346 P.' 004 Pr~
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OFFENDER I.D. DATA: STATE OFWASHING
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Distefano. Monica J. (DOC) From: Se
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3115 E. Mission Ave Spokcme, WA 992
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OFFENDGR I,D, DATA: STATE OF WASHIN
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J STATE OF WASHINGTON DEPARTMENT OF
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3115 E. Mission Ave 'Spokane, WA 99
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MARIJUANA MEDICINE- EVAlUATtON CENT
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OFFENDER 1.0. DATA: STATE OF WASHIN
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Scott L. Havsy, DO, DAApM -Board Ce
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