JENNA LEE WAGENBACH Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051298578

License Status

ACTIVE

Business

First Name

JENNA

Middle

LEE

Last Name

WAGENBACH

Business Name

JENNA LEE WAGENBACH

Original Issue Date

07/09/2015

Effective Date

01/31/2026

Expiration Date

03/31/2028

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

01/31/2026