RegDetail

Last Updated:  12/23/2024 5:22:52 AM

Pharmacist Detail                        

Name 

 RANDY WAYNE  BLISSARD

Type 

 Doctor of Pharmacy 

Number

 11643 

Class

 Senior Inactive 

City, State, Zip

 OKLAHOMA CITY,OK  73132 

Status

 CANCELED

Issue Date 

 04/21/1994 

Renewed Date

 10/10/2018

Expire Date 

 10/31/2019 

End Date 

 12/02/2019 

Preceptor?

 No 

Immunization?

 No 
 

Disciplinary Action
Click on any of the Underlined headings to sort by that column.
Case Date   Case Number  
No Disciplinary Action 
 

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