SAVANNA LAVELLE WICKERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276570

License Status

NOT RENEWED

Business

First Name

SAVANNA

Middle

LAVELLE

Last Name

WICKERT

Business Name

SAVANNA LAVELLE WICKERT

Original Issue Date

10/10/2020

Effective Date

10/10/2020

Expiration Date

03/31/2021

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

07/20/2021