Medical Practice Licenses in Nebraska

License number
Nebraska 3902
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Jul 26, 2004
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 5099
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 2332
Address
Nebraska
Category
Medicine
Issued Date
Jun 10, 1997
Effective Date
Oct 31, 1997
Type
Backup PA Supervisor
License number
Nebraska 1507
Address
Nebraska
Category
Medicine
Issued Date
Oct 8, 1992
Effective Date
Feb 19, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 2187
Address
Nebraska
Category
Medicine
Issued Date
Oct 9, 1996
Effective Date
Feb 19, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 2450
Address
Nebraska
Category
Medicine
Issued Date
Apr 15, 1998
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1708
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 1993
Effective Date
Feb 19, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 2544
Address
Nebraska
Category
Medicine
Issued Date
May 5, 1998
Effective Date
Nov 23, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 254
Address
Nebraska
Category
Medicine
Issued Date
Sep 1, 1995
Effective Date
Nov 20, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 1668
Address
Nebraska
Category
Medicine
Issued Date
Apr 22, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3409
Address
Nebraska
Category
Medicine
Issued Date
Dec 10, 1999
Effective Date
Sep 12, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 1903
Address
Nebraska
Category
Medicine
Issued Date
Jul 7, 2006
Effective Date
Jul 20, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 569
Address
Nebraska
Category
Medicine
Issued Date
Nov 17, 1997
Effective Date
Nov 27, 1999
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 5366
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jun 24, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 1250
Address
Nebraska
Category
Medicine
Issued Date
Mar 21, 1995
Effective Date
Sep 20, 2006
Type
Backup PA Supervisor
License number
Nebraska 2761
Address
Nebraska
Category
Medicine
Issued Date
Oct 26, 1998
Effective Date
Oct 2, 2012
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1168
Address
Nebraska
Category
Medicine
Issued Date
Oct 21, 1991
Effective Date
Oct 7, 1996
Type
Backup PA Supervisor
License number
Nebraska 3626
Address
Nebraska
Category
Medicine
Issued Date
Mar 30, 2000
Effective Date
Feb 19, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4071
Address
Nebraska
Category
Medicine
Issued Date
Jan 23, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska SD-RL02178-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 10, 1998
Effective Date
Nov 22, 2004
Expiration Date
Jul 13, 1998
Type
Physician Locum Tenens