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Documentation of Medical Authorization to Possfo'ss Marijuana " for Medica! PLlrposes in Washington State PATIENT NAME: __ _ DATE OF BIRTH: ---,__,-i.:..97:-S,-- i ,I I I, Dr. Mohammad H. Said , am a physician licensed in the State of Washington and I am tre
Distefano. Monica J. (DOC) From: Sent: To: . Subject: Distefano, Monica J. (DOC) Monday, February 23,200910:40 AM Liulamaga, Misi Nimese I. (DOC); O'Donnell, Erin M. (DOC) We received an appeal to Mr ••• lmedicinal marjiuana denial from his physician. Please dO not proceed with ·any violations related to the medicinal marijuana until the decision has been made on the appeal in the next 30 days. I will let you know the outcome.· Thank you! Monica Distefano Executive Assistant to Karen Daniels, Assistant Secretary Community CorreCtions Division 7345 Linderson Way SW Tumwater, WA 98501 MS: 41126· (360) 725-8796 mjdistefano@doc1.wa.gov 1 PDU-6655-3 000342
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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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eRR Medical, Il1c 3115 E. Mission A
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Or-FENDER 1.0. DATA, j' STATE OF WA
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j I Documentation of MedicarAuthcir
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. ! STATE OF WASHINGTON DEPARTMENT
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Interpretation of Medical Marijuana
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