Medical Practice Licenses in Nebraska

License number
Nebraska 3399
Address
Nebraska
Category
Medicine
Issued Date
Dec 1, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 207
Address
Nebraska
Category
Medicine
Issued Date
Apr 1, 1990
Effective Date
Jan 6, 1994
Type
Physician Assistant Supervisor
License number
Nebraska 1262
Address
Nebraska
Category
Medicine
Issued Date
Nov 26, 2014
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 651
Address
Nebraska
Category
Medicine
Issued Date
Aug 13, 1992
Effective Date
Feb 1, 1996
Type
Backup PA Supervisor
License number
Nebraska 317
Address
Nebraska
Category
Medicine
Issued Date
Oct 3, 1995
Effective Date
Aug 20, 1997
Type
Physician Assistant Supervisor
License number
Nebraska NJ-08911900-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 14, 2012
Effective Date
Aug 24, 2012
Expiration Date
Aug 24, 2012
Type
Physician Locum Tenens
License number
Nebraska TN-52492-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 28, 2015
Effective Date
Jul 31, 2015
Expiration Date
Oct 1, 2015
Type
Physician Locum Tenens
License number
Nebraska TX-Q3643-B
Address
Nebraska
Category
Medicine
Issued Date
Mar 29, 2017
Effective Date
Feb 23, 2017
Expiration Date
Apr 3, 2017
Type
Physician Locum Tenens
License number
Nebraska TX-Q3643-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 2016
Effective Date
Jan 3, 2017
Expiration Date
Jan 3, 2017
Type
Physician Locum Tenens
License number
Nebraska 3101
Address
Nebraska
Category
Medicine
Issued Date
Nov 18, 1993
Effective Date
Dec 31, 1995
Type
Temporary Educational Permit
License number
Nebraska 5955
Address
Nebraska
Category
Medicine
Issued Date
Sep 2, 2008
Effective Date
May 29, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 6435
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 10, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 5996
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Apr 2, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 6031
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 12, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 6647
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Aug 28, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 5972
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Feb 16, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska MA-76591-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 21, 2015
Effective Date
Dec 21, 2015
Expiration Date
Sep 28, 2015
Type
Physician Locum Tenens
License number
Nebraska PA-424085-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 12, 2007
Effective Date
Jul 17, 2007
Expiration Date
May 4, 2007
Type
Physician Locum Tenens
License number
Nebraska 6693
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
May 3, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 5511
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 2, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit