Medical Practice Licenses in Nebraska

License number
Nebraska 4632
Address
Nebraska
Category
Medicine
Issued Date
Jan 16, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 537
Address
Nebraska
Category
Medicine
Issued Date
Oct 15, 1997
Effective Date
Oct 3, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 1558
Address
Nebraska
Category
Medicine
Issued Date
Oct 15, 1997
Effective Date
May 13, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3754
Address
Nebraska
Category
Medicine
Issued Date
Jul 24, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4636
Address
Nebraska
Category
Medicine
Issued Date
Jan 24, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska GA-58661-C
Address
Nebraska
Category
Medicine
Issued Date
Jul 28, 2008
Effective Date
Sep 22, 2008
Expiration Date
Aug 1, 2008
Type
Physician Locum Tenens
License number
Nebraska GA-58661-B
Address
Nebraska
Category
Medicine
Issued Date
Apr 7, 2008
Effective Date
Sep 22, 2008
Expiration Date
Apr 11, 2008
Type
Physician Locum Tenens
License number
Nebraska GA-58661-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 6, 2008
Effective Date
Sep 22, 2008
Expiration Date
Feb 15, 2008
Type
Physician Locum Tenens
License number
Nebraska GA-58661-D
Address
Nebraska
Category
Medicine
Issued Date
Aug 18, 2008
Effective Date
Sep 22, 2008
Expiration Date
Aug 29, 2008
Type
Physician Locum Tenens
License number
Nebraska 6269
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Feb 17, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 6526
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 11, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska ME-018397-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 22, 2010
Effective Date
Jan 30, 2012
Expiration Date
Dec 27, 2010
Type
Physician Locum Tenens
License number
Nebraska 6207
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 1, 2011
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 3828
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 1706
Address
Nebraska
Category
Medicine
Issued Date
Apr 19, 2013
Effective Date
Apr 19, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 3249
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Apr 21, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 3877
Address
Nebraska
Category
Medicine
Issued Date
Oct 17, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3724
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Jul 2, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska GA-51120-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 22, 2011
Effective Date
Jul 25, 2011
Expiration Date
Jul 25, 2011
Type
Physician Locum Tenens