JENNA M SHELLENBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154160

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

Last Name

SHELLENBERG

Business Name

JENNA M SHELLENBERG

Original Issue Date

04/23/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2007