Her practice includes representing successful applicants for local licenses to operate medical cannabis businesses, in addition to working for and drafting regulations for the same. Among her recent triumphs are representing over 30 percent of the City of San Diego licensed dispensaries. Ms. McElfresh also works as a criminal defense attorney, focusing on felonies in state court. Over the past six years, two thirds of her cases have resulted in dismissals, no charges filed, or reduction to a misdemeanor. Since 2011, Ms. McElfresh has served as pro bono legal counsel for several local groups advocating for regulation of medical cannabis within the County and City of San Diego. LAND USE/ZONING