Application to add Medical Marijuana Endorsement
Application for Added Medical Cannabis Endorsement
This endorsement allows a Cannabis Retailer to sell cannabis for medical use to qualifying patients and designated providers. To apply for the Medical Cannabis endorsement you must have a recreational Cannabis Retailer license.
To qualify for this endorsement, you must adhere to the following requirements:
• Carry cannabis concentrates and infused products that have been identified as medical grade by the Department of Health (DOH)
• Enter qualifying patients and designated providers in a medical cannabis database administered by DOH
• Issue medical cannabis patient recognition cards developed by DOH
• Keep records of qualifying patients and designated provider’s recognition cards and other records required by DOH and Department of Revenue
• Ensure that all employees are trained on medical cannabis including the ability to identify authorizations and recognition cards
• Enter information about medical sales in the traceability system
For more information, please visit lcb.. If you have any questions, please contact the Licensing Division at 360-664-1600.
|Name of Applicant |License Number |
|Location Address (Street, City, State, Zip) |
|Mailing Address (Street, City, State, Zip) |
|Primary contact |Contact Telephone Number(s) |
|Email Address |
I understand that these are continuing requirements and failure to meet any of these requirements at any time may result in the revocation of this authorization by the WSLCB.
|Signature |Date |
|Print Name |Title |
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