Medical Practice Licenses in Nebraska

License number
Nebraska 1628
Address
Nebraska
Category
Medicine
Issued Date
Feb 2, 2005
Effective Date
Aug 8, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1701
Address
Nebraska
Category
Medicine
Issued Date
Aug 1, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3132
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Jan 28, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 1459
Address
Nebraska
Category
Medicine
Issued Date
Dec 11, 2003
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4346
Address
Nebraska
Category
Medicine
Issued Date
Aug 15, 2001
Effective Date
Oct 12, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3319
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1057
Address
Nebraska
Category
Medicine
Issued Date
Aug 10, 1987
Effective Date
Oct 15, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3310
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Aug 30, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 758
Address
Nebraska
Category
Medicine
Issued Date
Dec 11, 1989
Effective Date
Oct 30, 1998
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska MS-16419-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 17, 2000
Effective Date
Aug 24, 2000
Expiration Date
Aug 13, 2000
Type
Physician Locum Tenens
License number
Nebraska 235
Address
Nebraska
Category
Medicine
Issued Date
Sep 4, 1998
Effective Date
Oct 12, 2010
Expiration Date
Oct 1, 2010
Type
Osteopathic Physician & Surgeon
License number
Nebraska 540
Address
Nebraska
Category
Medicine
Issued Date
May 31, 2007
Effective Date
Oct 12, 2010
Expiration Date
Oct 1, 2010
Type
Osteopathic Physician & Surgeon
License number
Nebraska 4175
Address
Nebraska
Category
Medicine
Issued Date
Mar 28, 2000
Effective Date
Jul 10, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 4564
Address
Nebraska
Category
Medicine
Issued Date
Mar 27, 2002
Effective Date
May 8, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 6481
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 4828
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
Nov 6, 2006
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska CO-45874-A
Address
Nebraska
Category
Medicine
Issued Date
May 30, 2008
Effective Date
Aug 21, 2008
Expiration Date
Aug 27, 2008
Type
Physician Locum Tenens
License number
Nebraska 1585
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 1995
Effective Date
Jan 30, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor