RegDetail

Last Updated:  12/23/2024 5:22:52 AM

Pharmacist Detail                        

Name 

 JERA-MARIE  BURKETT BUPP

Type 

 Doctor of Pharmacy 

Number

 13210 

Class

 Active 

City, State, Zip

 LAWTON,OK  73505 

Status

 CANCELED

Issue Date 

 03/19/2003 

Renewed Date

 06/01/2004

Expire Date 

 09/30/2005 

End Date 

 10/31/2005 

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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