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Missouri has already approved more than 17,000 patients for its yet-to-be-launched medical marijuana program — a stark contrast to neighboring Illinois, which had fewer than 3,000 patients in the first 10 months. Licenses for Missouri’s dispensaries are expected to be awarded by January, and cannabis should be available for medical card holders by spring. At their core, Missouri and Illinois programs do the same thing: They allow doctors to certify patients to use cannabis if they have a qualifying condition. But there are significant differences in the details of each law, including who has access, how they’re getting access and how the programs can be changed in the future.