Medical Practice Licenses in Nebraska

License number
Nebraska CO-32672-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2014
Effective Date
Jul 2, 2014
Expiration Date
Jul 7, 2014
Type
Physician Locum Tenens
License number
Nebraska VA-0101046352-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 6, 1991
Effective Date
Nov 22, 2004
Expiration Date
Dec 31, 1991
Type
Physician Locum Tenens
License number
Nebraska 93
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Oct 1, 1964
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 2724
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Dec 17, 1992
Type
Temporary Educational Permit
License number
Nebraska 1446
Address
Nebraska
Category
Medicine
Issued Date
Nov 26, 2003
Effective Date
Aug 12, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1844
Address
Nebraska
Category
Medicine
Issued Date
Mar 7, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 86
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Oct 1, 1964
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 6115
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 2, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 2625
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Nov 25, 1996
Type
Temporary Educational Permit
License number
Nebraska FL-ME59471-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 2, 2013
Effective Date
Aug 31, 2013
Expiration Date
Aug 31, 2013
Type
Physician Locum Tenens
License number
Nebraska 6726
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Apr 22, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska AZ-05438-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 25, 2016
Effective Date
Mar 16, 2016
Expiration Date
Mar 28, 2016
Type
Physician Locum Tenens
License number
Nebraska 4994
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 1, 2005
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska 3186
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 1999
Effective Date
Dec 31, 1999
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 1549
Address
Nebraska
Category
Medicine
Issued Date
Sep 19, 1997
Effective Date
Dec 9, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 3826
Address
Nebraska
Category
Medicine
Issued Date
Sep 8, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1544
Address
Nebraska
Category
Medicine
Issued Date
Jul 25, 1996
Effective Date
Jul 23, 1996
Type
Backup PA Supervisor
License number
Nebraska 3913
Address
Nebraska
Category
Medicine
Issued Date
Oct 23, 2000
Effective Date
Oct 31, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4680
Address
Nebraska
Category
Medicine
Issued Date
Feb 19, 2002
Effective Date
Apr 1, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1716
Address
Nebraska
Category
Medicine
Issued Date
Aug 23, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 5067
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 2, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska PA-031273E-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 1986
Effective Date
Nov 22, 2004
Expiration Date
Oct 24, 1986
Type
Physician Locum Tenens
License number
Nebraska 4418
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2001
Effective Date
Jul 22, 2002
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 6907
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Dec 10, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 497
Address
Nebraska
Category
Medicine
Issued Date
Sep 1, 1995
Effective Date
Jul 31, 2000
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 1831
Address
Nebraska
Category
Medicine
Issued Date
Feb 2, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 521
Address
Nebraska
Category
Medicine
Issued Date
Jan 19, 1996
Effective Date
Feb 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 231
Address
620 N Diers Ave, Grand Island, NE 68802
Category
Medical Practice
Type
Foot & Ankle Surgery