Medical Practice Licenses in Nebraska

License number
Nebraska 1254
Address
Nebraska
Category
Medicine
Issued Date
Sep 23, 2002
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4732
Address
Nebraska
Category
Medicine
Issued Date
May 2, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1941
Address
Nebraska
Category
Medicine
Issued Date
Sep 25, 2006
Effective Date
Jul 13, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 4855
Address
Nebraska
Category
Medicine
Issued Date
Aug 8, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 6279
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Nov 1, 2011
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska ID-M-4859-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 13, 2005
Effective Date
Jun 24, 2005
Expiration Date
Jun 24, 2005
Type
Physician Locum Tenens
License number
Nebraska 5672
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 5397
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Feb 10, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska FL-42613-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 30, 2008
Effective Date
May 16, 2008
Expiration Date
May 16, 2008
Type
Physician Locum Tenens
License number
Nebraska 1834
Address
Nebraska
Category
Medicine
Issued Date
Feb 6, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1314
Address
Nebraska
Category
Medicine
Issued Date
Oct 28, 1996
Effective Date
May 1, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1890
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1994
Effective Date
Aug 20, 1997
Type
Backup PA Supervisor
License number
Nebraska 1745
Address
Nebraska
Category
Medicine
Issued Date
Dec 3, 1996
Effective Date
May 1, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 6561
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
May 15, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 7208
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2014
Effective Date
Oct 20, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 4692
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Jul 2, 2004
Expiration Date
Jul 1, 2004
Type
Temporary Educational Permit
License number
Nebraska 6052
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Apr 15, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 1908
Address
Nebraska
Category
Medicine
Issued Date
Aug 23, 1996
Effective Date
Aug 20, 1997
Type
Backup PA Supervisor
License number
Nebraska 4673
Address
Nebraska
Category
Medicine
Issued Date
Feb 8, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3129
Address
Nebraska
Category
Medicine
Issued Date
Jul 7, 1999
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor