JENNY IRENE DIPPOLITO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023038

License Status

ACTIVE

Business

First Name

JENNY

Middle

IRENE

Last Name

DIPPOLITO

Business Name

JENNY IRENE DIPPOLITO

BusinessDBA

JENNY PANCER

Original Issue Date

03/17/2021

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

BRENTWOOD

State

Zip

63144

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026