Medical Practice Licenses in Nebraska

License number
Nebraska 1206
Address
Nebraska
Category
Medicine
Issued Date
May 20, 2002
Effective Date
Nov 21, 2003
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska 4605
Address
Nebraska
Category
Medicine
Issued Date
Dec 19, 2001
Effective Date
Nov 22, 2004
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3589
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
May 31, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 576
Address
Nebraska
Category
Medicine
Issued Date
Jan 21, 1997
Effective Date
Jun 5, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 256
Address
Nebraska
Category
Medicine
Issued Date
Mar 22, 1989
Effective Date
May 1, 1991
Type
Physician Assistant Supervisor
License number
Nebraska 1845
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1995
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1497
Address
Nebraska
Category
Medicine
Issued Date
Feb 12, 2004
Effective Date
Jul 14, 2004
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 315
Address
Nebraska
Category
Medicine
Issued Date
Mar 12, 1992
Effective Date
Oct 28, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 6919
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Feb 29, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska CO-31120-B
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 2012
Effective Date
Apr 17, 2012
Expiration Date
Jan 8, 2012
Type
Physician Locum Tenens
License number
Nebraska CO-31120-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 17, 2011
Effective Date
Apr 17, 2012
Expiration Date
Dec 23, 2011
Type
Physician Locum Tenens
License number
Nebraska 6612
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jun 20, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska TX-F2568-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 30, 2014
Effective Date
Mar 12, 2015
Expiration Date
Mar 2, 2015
Type
Physician Locum Tenens
License number
Nebraska 2835
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jun 23, 1997
Type
Temporary Educational Permit
License number
Nebraska 2019
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1987
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska NM-MD20100642-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 18, 2011
Effective Date
Nov 21, 2011
Expiration Date
Nov 21, 2011
Type
Physician Locum Tenens
License number
Nebraska 3779
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Dec 31, 1997
Type
Temporary Educational Permit
License number
Nebraska NH-8408-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 1, 2015
Effective Date
Jan 28, 2016
Expiration Date
Mar 1, 2016
Type
Physician Locum Tenens
License number
Nebraska 4953
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2004
Effective Date
Jun 1, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 3251
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Aug 28, 1995
Type
Temporary Educational Permit
License number
Nebraska 1687
Address
Nebraska
Category
Medicine
Issued Date
Jun 16, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1077
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 2001
Effective Date
Jul 20, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 2217
Address
Nebraska
Category
Medicine
Issued Date
Feb 11, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 977
Address
Nebraska
Category
Medicine
Issued Date
Sep 7, 2000
Effective Date
Mar 2, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 800
Address
Nebraska
Category
Medicine
Issued Date
Mar 9, 1999
Effective Date
Jul 28, 2000
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 73
Address
Nebraska
Category
Medicine
Issued Date
Jul 13, 1988
Effective Date
Nov 18, 2002
Expiration Date
Oct 1, 2002
Type
Osteopathic Physician & Surgeon