Medical Practice Licenses in Nebraska

License number
Nebraska 4010
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
Dec 17, 2001
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 3189
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Jul 1, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 2479
Address
Nebraska
Category
Medicine
Issued Date
Apr 14, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 6058
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jan 10, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 5380
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2006
Effective Date
Jun 24, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 5381
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2006
Effective Date
Jun 15, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 3474
Address
Nebraska
Category
Medicine
Issued Date
Jun 20, 1996
Effective Date
Jun 30, 1997
Type
Temporary Educational Permit
License number
Nebraska 1870
Address
Nebraska
Category
Medicine
Issued Date
May 16, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4492
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2001
Effective Date
Aug 15, 2001
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 4086
Address
Nebraska
Category
Medicine
Issued Date
Jan 23, 2001
Effective Date
Feb 1, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 6219
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2010
Effective Date
May 10, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska NY-094645-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 6, 2001
Effective Date
Nov 22, 2004
Expiration Date
Jan 12, 2001
Type
Physician Locum Tenens
License number
Nebraska 2891
Address
Nebraska
Category
Medicine
Issued Date
Dec 28, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2629
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 1, 1992
Type
Temporary Educational Permit
License number
Nebraska VA-0101246180-B
Address
Nebraska
Category
Medicine
Issued Date
Aug 12, 2013
Effective Date
Jul 22, 2013
Expiration Date
Aug 25, 2013
Type
Physician Locum Tenens
License number
Nebraska VA-0101246180-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 15, 2013
Effective Date
Jul 22, 2013
Expiration Date
Jul 28, 2013
Type
Physician Locum Tenens
License number
Nebraska 2973
Address
Nebraska
Category
Medicine
Issued Date
Jan 29, 1999
Effective Date
Aug 3, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska PA-MD426303-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 7, 2014
Effective Date
Feb 10, 2014
Expiration Date
Jan 31, 2014
Type
Physician Locum Tenens
License number
Nebraska 3608
Address
Nebraska
Category
Medicine
Issued Date
Nov 5, 1996
Effective Date
Jun 30, 1997
Type
Temporary Educational Permit
License number
Nebraska 2627
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit