MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF LICENSING AND REGULATORY SERVICES Medical Use of Marijuana Program Designation Form / Maine Department of Health and Human Services / Department of Health and Human Services Licensing and Regulatory Services Maine Medical Use of Marijuana Program / / /
4103-1841500STATE OF MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF LICENSING AND REGULATORY SERVICES Medical Use of Marijuana Program Designation Form (For patients to designate a caregiver or dispensary)