According to the Wa. St. DOH it is less restrictive, they claim if a recommendation does not have an expiration date. It does not ever expire.

Also only doc in the boxes offer a 1 yr time table expiration date. I have one from my normal dr. that does not have any expiration date on it(I have diagnosed document). I also have one from Dr. Orvald that doesn't have an expiration date on it(I am treating document). 2 different criteria in medical terms....

I also have 2 other recommendations with expiration dates, yet all of them are for different qualifying conditions.

Explain this one would ya?