Medical Practice Licenses in Nebraska

License number
Nebraska 3418
Address
Nebraska
Category
Medicine
Issued Date
Dec 17, 1999
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1557
Address
Nebraska
Category
Medicine
Issued Date
Aug 13, 2004
Effective Date
Nov 14, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 4012
Address
Nebraska
Category
Medicine
Issued Date
Dec 26, 2000
Effective Date
Sep 25, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3675
Address
Nebraska
Category
Medicine
Issued Date
Apr 27, 2000
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3695
Address
Nebraska
Category
Medicine
Issued Date
May 4, 2000
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3042
Address
Nebraska
Category
Medicine
Issued Date
Mar 19, 1999
Effective Date
May 22, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 5778
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2008
Effective Date
Jul 1, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 2591
Address
Nebraska
Category
Medicine
Issued Date
Jul 9, 1990
Effective Date
Aug 5, 1992
Type
Temporary Educational Permit
License number
Nebraska 965
Address
Nebraska
Category
Medicine
Issued Date
Apr 2, 1989
Effective Date
Jan 29, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1291
Address
Nebraska
Category
Medicine
Issued Date
Oct 15, 1990
Effective Date
Sep 5, 1996
Type
Backup PA Supervisor
License number
Nebraska 2326
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1989
Effective Date
Jul 10, 1991
Type
Temporary Educational Permit
License number
Nebraska 5962
Address
Nebraska
Category
Medicine
Issued Date
Jan 1, 2009
Effective Date
Apr 5, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 5616
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jan 28, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 2056
Address
Nebraska
Category
Medicine
Issued Date
May 30, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2083
Address
Nebraska
Category
Medicine
Issued Date
Jul 9, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 5195
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
Nov 14, 2006
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 3487
Address
Nebraska
Category
Medicine
Issued Date
Jun 20, 1996
Effective Date
Oct 8, 1997
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 1878
Address
Nebraska
Category
Medicine
Issued Date
May 24, 2006
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska AZ-1825-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 24, 2008
Effective Date
Nov 28, 2008
Expiration Date
Nov 28, 2008
Type
Physician Locum Tenens
License number
Nebraska IA-01527-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 8, 1994
Effective Date
Nov 22, 2004
Expiration Date
Sep 8, 1994
Type
Physician Locum Tenens
License number
Nebraska 3962
Address
Nebraska
Category
Medicine
Issued Date
Aug 19, 1998
Effective Date
Jul 2, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 7012
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jun 10, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 2623
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Sep 20, 1991
Type
Temporary Educational Permit
License number
Nebraska OR-MD29300-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 19, 2012
Effective Date
Mar 15, 2012
Expiration Date
May 18, 2012
Type
Physician Locum Tenens
License number
Nebraska CA-A86632-E
Address
Nebraska
Category
Medicine
Issued Date
Aug 27, 2009
Effective Date
Oct 9, 2009
Expiration Date
Aug 31, 2009
Type
Physician Locum Tenens
License number
Nebraska CA-86632-B
Address
Nebraska
Category
Medicine
Issued Date
Dec 24, 2008
Effective Date
Oct 9, 2009
Expiration Date
Dec 29, 2008
Type
Physician Locum Tenens
License number
Nebraska CA-A86632-D
Address
Nebraska
Category
Medicine
Issued Date
Jul 23, 2009
Effective Date
Oct 9, 2009
Expiration Date
Jul 28, 2009
Type
Physician Locum Tenens
License number
Nebraska CA-86632-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 27, 2008
Effective Date
Oct 9, 2009
Expiration Date
Dec 2, 2008
Type
Physician Locum Tenens
License number
Nebraska 3296
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 CA-72952-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 1, 2008
Effective Date
Jun 19, 2008
Expiration Date
Jun 29, 2008
Type
Physician Locum Tenens
License number
Nebraska 4397
Address
Nebraska
Category
Medicine
Issued Date
Aug 22, 2001
Effective Date
Jul 1, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3245
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 1999
Effective Date
Jul 1, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3653
Address
Nebraska
Category
Medicine
Issued Date
Mar 31, 2000
Effective Date
Jul 1, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3804
Address
Nebraska
Category
Medicine
Issued Date
Sep 6, 2000
Effective Date
Jul 1, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2244
Address
Nebraska
Category
Medicine
Issued Date
Jan 13, 1997
Effective Date
Aug 4, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 6449
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 11, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 5977
Address
Nebraska
Category
Medicine
Issued Date
May 4, 2009
Effective Date
Jul 29, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska MT-36048-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 9, 2016
Effective Date
Mar 1, 2016
Expiration Date
Feb 15, 2016
Type
Physician Locum Tenens
License number
Nebraska 7047
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Dec 14, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska PA-MD055127L-B
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 1999
Effective Date
Nov 22, 2004
Expiration Date
Mar 1, 1999
Type
Physician Locum Tenens
License number
Nebraska PA-MD055127L-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 17, 1998
Effective Date
Nov 22, 2004
Expiration Date
Dec 23, 1998
Type
Physician Locum Tenens
License number
Nebraska MN-27798-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 9, 2015
Effective Date
Oct 12, 2015
Expiration Date
Oct 12, 2015
Type
Physician Locum Tenens