Medical Practice Licenses in Nebraska

License number
Nebraska 60
Address
Nebraska
Category
Medicine
Issued Date
Oct 3, 1986
Effective Date
Oct 2, 2002
Expiration Date
Oct 1, 2002
Type
Osteopathic Physician & Surgeon
License number
Nebraska 2331
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1989
Effective Date
Dec 1, 1990
Type
Temporary Educational Permit
License number
Nebraska 5019
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 2, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 2188
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1988
Type
Temporary Educational Permit
License number
Nebraska 3020
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Type
Temporary Educational Permit
License number
Nebraska 4080
Address
Nebraska
Category
Medicine
Issued Date
Jan 23, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2960
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Mar 28, 1995
Type
Temporary Educational Permit
License number
Nebraska 3302
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
May 26, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 5727
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 11, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 7078
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 1229
Address
Nebraska
Category
Medicine
Issued Date
Jul 22, 2002
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1386
Address
Nebraska
Category
Medicine
Issued Date
Aug 6, 2003
Effective Date
Aug 25, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 283
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Jun 5, 1984
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 6350
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Apr 15, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 6916
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
May 23, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 1765
Address
Nebraska
Category
Medicine
Issued Date
Feb 7, 1995
Effective Date
Oct 2, 1995
Type
Backup PA Supervisor
License number
Nebraska 1790
Address
Nebraska
Category
Medicine
Issued Date
Jan 3, 1994
Effective Date
Oct 1, 1997
Type
Backup PA Supervisor
License number
Nebraska 409
Address
Nebraska
Category
Medicine
Issued Date
Jan 11, 1994
Effective Date
Mar 6, 1995
Type
Physician Assistant Supervisor
License number
Nebraska 496
Address
Nebraska
Category
Medicine
Issued Date
Jul 28, 1995
Effective Date
Dec 12, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 635
Address
Nebraska
Category
Medicine
Issued Date
Feb 5, 1998
Effective Date
Dec 1, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 4584
Address
Nebraska
Category
Medicine
Issued Date
Dec 5, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 395
Address
3503 Samson Way SUITE 108, Bellevue, NE 68123
Category
Nursing
Type
Medical