Medical Practice Licenses in Nebraska

License number
Nebraska IN-01049275-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 13, 2000
Effective Date
Jul 29, 2003
Expiration Date
Mar 17, 2000
Type
Physician Locum Tenens
License number
Nebraska 3531
Address
Nebraska
Category
Medicine
Issued Date
Jan 20, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2240
Address
Nebraska
Category
Medicine
Issued Date
Feb 4, 1997
Effective Date
Nov 19, 1998
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 4434
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2393
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4662
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4769
Address
Nebraska
Category
Medicine
Issued Date
May 30, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 660
Address
Nebraska
Category
Medicine
Issued Date
Nov 17, 1995
Effective Date
Nov 15, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 2308
Address
Nebraska
Category
Medicine
Issued Date
Jul 22, 1997
Effective Date
Aug 24, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1999
Address
Nebraska
Category
Medicine
Issued Date
May 12, 1995
Effective Date
Feb 1, 1996
Type
Backup PA Supervisor
License number
Nebraska 1356
Address
Nebraska
Category
Medicine
Issued Date
Jan 20, 1994
Effective Date
Oct 3, 1995
Type
Backup PA Supervisor
License number
Nebraska 59
Address
Nebraska
Category
Medicine
Issued Date
Aug 11, 1986
Effective Date
Jun 14, 1994
Type
Osteopathic Physician
License number
Nebraska MO-2010003177-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 27, 2012
Effective Date
Sep 3, 2012
Expiration Date
Sep 3, 2012
Type
Physician Locum Tenens
License number
Nebraska 1341
Address
Nebraska
Category
Medicine
Issued Date
Jun 15, 1981
Effective Date
Jun 15, 1981
Type
Temporary Educational Permit
License number
Nebraska 5796
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Mar 1, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 6023
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 27, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 5752
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Jul 2, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 5251
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
Nov 5, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 95
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Oct 21, 1964
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec