Medical Practice Licenses in Nebraska

License number
Nebraska CO-17258-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 30, 1997
Effective Date
Nov 22, 2004
Expiration Date
Nov 14, 1997
Type
Physician Locum Tenens
License number
Nebraska 826
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 1999
Effective Date
Jan 13, 2000
Expiration Date
Dec 27, 2000
Type
Temporary Physician Assistant
License number
Nebraska KS-04-28506-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 21, 2011
Effective Date
May 3, 2013
Expiration Date
Nov 29, 2011
Type
Physician Locum Tenens
License number
Nebraska KS-04-28506-B
Address
Nebraska
Category
Medicine
Issued Date
Nov 11, 2012
Effective Date
May 3, 2013
Expiration Date
Jan 3, 2013
Type
Physician Locum Tenens
License number
Nebraska OH-34009397-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 11, 2011
Effective Date
Jan 19, 2011
Expiration Date
Apr 10, 2011
Type
Physician Locum Tenens
License number
Nebraska 6042
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 10, 2012
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 1613
Address
Nebraska
Category
Medicine
Issued Date
Jan 3, 2005
Effective Date
Aug 8, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 500
Address
Nebraska
Category
Medicine
Issued Date
Aug 28, 2006
Effective Date
Oct 3, 2014
Expiration Date
Oct 1, 2014
Type
Osteopathic Physician & Surgeon
License number
Nebraska VA-0101057671-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 9, 1998
Effective Date
Nov 22, 2004
Expiration Date
Nov 29, 1998
Type
Physician Locum Tenens
License number
Nebraska 7088
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska WA-22401-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 24, 1995
Effective Date
Nov 22, 2004
Expiration Date
Jul 30, 1995
Type
Physician Locum Tenens
License number
Nebraska WA-22401-C
Address
Nebraska
Category
Medicine
Issued Date
Nov 22, 1997
Effective Date
Nov 22, 2004
Expiration Date
Nov 24, 1997
Type
Physician Locum Tenens
License number
Nebraska CA-50909-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 22, 2007
Effective Date
Oct 26, 2007
Expiration Date
Oct 26, 2007
Type
Physician Locum Tenens
License number
Nebraska ID-6318-D
Address
Nebraska
Category
Medicine
Issued Date
Aug 6, 2007
Effective Date
Aug 13, 2007
Expiration Date
Aug 10, 2007
Type
Physician Locum Tenens
License number
Nebraska ID-M6318-C
Address
Nebraska
Category
Medicine
Issued Date
Jul 9, 2007
Effective Date
Jul 13, 2007
Expiration Date
Jul 13, 2007
Type
Physician Locum Tenens
License number
Nebraska ID-M6318-B
Address
Nebraska
Category
Medicine
Issued Date
Sep 25, 2006
Effective Date
Sep 29, 2006
Expiration Date
Sep 29, 2006
Type
Physician Locum Tenens
License number
Nebraska ID-M6318-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 20, 2006
Effective Date
Mar 24, 2006
Expiration Date
Mar 24, 2006
Type
Physician Locum Tenens
License number
Nebraska 5706
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 2, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska VA-0101250018-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 5, 2016
Effective Date
Jul 1, 2016
Expiration Date
Jul 1, 2016
Type
Physician Locum Tenens