Application for the position Licensed Physicians Application Date: 11/12/2025 3:07:05 PM

If you have questions related to your application, would like to amend your application or upload additional documents, contact the Board Staff Support listed on the Minnesota Drug Formulary Committee agency page. The name and email link for the Board Staff Support person are listed in the upper right-hand corner of the board's website under CONTACT and again in the Board Staff Support section of the page.

Part I: Position Sought


Agency Name: Minnesota Drug Formulary Committee
Position: Licensed Physicians
Seat: Physician

Part II: Applicant Information


Name: Dr Jena Nicole Wirt
County: Hennepin
Recommended by the Appointing Authority: Yes
Mn House District: 61B
US House District: 5

Part III: Appending Documentation


Cover Letter and Resume

Type File Type
Resume application/vnd.openxmlformats-officedocument.wordprocessingml.document

Additional Documents (.doc, .docx, .pdf, .txt)

Type File Name
No additional documents found.

Part V: Signature


Signature: Dave Hoang
Date: 11/12/2025 3:07:05 PM