~ NuggMD
Brian Kessler
1325 J Street Suite 1550
Physician Statement Sacramento, CA, 95814
PATIENT ID: 1921 5637 0997
This document certifies that ______________________________
Michael Evans was evaluated
at my telemedicine, virtual, or physical office for treatment of a medical
condition that, in my professional opinion, may benefit from the use of medical
marijuana. In my assessment, this patient qualifies for the use of marijuana for
medical purposes under California Health and Safety Code Section 11362.5. I
have discussed the potential risks and potential benefits of medical marijuana
use with this patient and they assume any and all risks associated with their use
of marijuana for medical purposes.
This patient hereby authorizes this office to discuss the nature of their
condition(s) and the information contained in this document only for purposes
of verification. This document is non-transferable. It is the property of the
physician indicated and may be revoked at any time without notice. This
document is void after the expiration date listed below, or if it is misused or
altered. Please direct all questions to the office that issued this
recommendation.
This medical document identifies the person listed above as a patient who is
permitted to possess and/or cultivate medical cannabis pursuant to California
Health and Safety Code Section 11362.5.
SIGNED
LICENSE: C173504 Brian Kessler
STATEMENT ISSUE DATE: December 09, 2024
RECOMMENDATION LENGTH: 1 Year PATIENT SIGNATURE
EXPIRATION DATE: December 09, 2025
PATIENT STATE ID: 12814.6
24/7 VERIFICATION AVAILABLE FOR THIS RECOMMENDATION ONLINE AT
https://nuggmd.com/verify/192156370997
