Medical Practice Licenses in Nebraska

License number
Nebraska 4764
Address
Nebraska
Category
Medicine
Issued Date
May 24, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3520
Address
Nebraska
Category
Medicine
Issued Date
Jan 13, 2000
Effective Date
Mar 31, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3305
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska VA-39991-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 24, 1990
Effective Date
Nov 22, 2004
Expiration Date
Dec 28, 1990
Type
Physician Locum Tenens
License number
Nebraska 6915
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 28, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 5525
Address
Nebraska
Category
Medicine
Issued Date
Jul 10, 2006
Effective Date
Apr 9, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 4195
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2000
Effective Date
Mar 21, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 936
Address
Nebraska
Category
Medicine
Issued Date
Feb 10, 2004
Effective Date
May 24, 2004
Expiration Date
Feb 10, 2005
Type
Temporary Physician Assistant
License number
Nebraska VA-0101244866-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 5, 2014
Effective Date
Oct 2, 2014
Expiration Date
Sep 8, 2014
Type
Physician Locum Tenens
License number
Nebraska 6906
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 9, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska FL-ME77733-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 11, 2016
Effective Date
Dec 12, 2016
Expiration Date
Dec 12, 2016
Type
Physician Locum Tenens
License number
Nebraska 5464
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Apr 28, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 992
Address
Nebraska
Category
Medicine
Issued Date
Sep 25, 2006
Effective Date
Nov 2, 2006
Expiration Date
Sep 25, 2007
Type
Temporary Physician Assistant
License number
Nebraska 1079
Address
Nebraska
Category
Medicine
Issued Date
Jan 16, 2015
Effective Date
Feb 5, 2015
Expiration Date
Jan 16, 2016
Type
Temporary Physician Assistant
License number
Nebraska 3906
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Feb 15, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 5948
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Jul 11, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska FL-94601-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 1, 2008
Effective Date
Mar 7, 2008
Expiration Date
Apr 30, 2008
Type
Physician Locum Tenens
License number
Nebraska NC-98-00177-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 2002
Effective Date
Feb 25, 2003
Expiration Date
Oct 7, 2002
Type
Physician Locum Tenens
License number
Nebraska 2073
Address
Nebraska
Category
Medicine
Issued Date
Jun 22, 2007
Effective Date
Oct 20, 2008
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor