Medical Practice Licenses in Nebraska

License number
Nebraska 843
Address
Nebraska
Category
Medicine
Issued Date
Nov 19, 1991
Effective Date
Jun 29, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 688
Address
Nebraska
Category
Medicine
Issued Date
Jun 29, 1998
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1378
Address
Nebraska
Category
Medicine
Issued Date
Sep 14, 1990
Effective Date
Jun 29, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2142
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3117
Address
Nebraska
Category
Medicine
Issued Date
May 3, 1994
Effective Date
Oct 20, 1995
Type
Temporary Educational Permit
License number
Nebraska 1907
Address
Nebraska
Category
Medicine
Issued Date
Dec 4, 1997
Effective Date
Sep 12, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1649
Address
Nebraska
Category
Medicine
Issued Date
Mar 8, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3393
Address
Nebraska
Category
Medicine
Issued Date
Nov 18, 1999
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 461
Address
Nebraska
Category
Medicine
Issued Date
Feb 27, 1998
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska CO-50955-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 21, 2012
Effective Date
Dec 28, 2012
Expiration Date
Feb 21, 2013
Type
Physician Locum Tenens
License number
Nebraska 6662
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Oct 22, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 3352
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
May 28, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 732
Address
Nebraska
Category
Medicine
Issued Date
Apr 21, 2010
Effective Date
Oct 3, 2014
Expiration Date
Oct 1, 2014
Type
Osteopathic Physician & Surgeon
License number
Nebraska 3725
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Jun 2, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 1319
Address
Nebraska
Category
Medicine
Issued Date
Feb 24, 2003
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 6948
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska VA-101035543-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 2, 2008
Effective Date
Sep 17, 2008
Expiration Date
Sep 12, 2008
Type
Physician Locum Tenens
License number
Nebraska 3550
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 2000
Effective Date
Sep 30, 2010
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3505
Address
Nebraska
Category
Medicine
Issued Date
Jan 13, 2000
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 347
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Jul 23, 2002
Effective Date
Feb 7, 2007
Expiration Date
Dec 31, 2006
Type
Environmental Health Specialist
License number
Nebraska 5025
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Mar 13, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska OH-14695-A
Address
Nebraska
Category
Medicine
Issued Date
May 20, 1985
Effective Date
Nov 22, 2004
Expiration Date
May 31, 1985
Type
Physician Locum Tenens