Medical Practice Licenses in Nebraska

License number
Nebraska 3476
Address
Nebraska
Category
Medicine
Issued Date
Jun 20, 1996
Effective Date
Jul 17, 1997
Type
Temporary Educational Permit
License number
Nebraska TX-M7078-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 5, 2013
Effective Date
Oct 1, 2013
Expiration Date
Jul 15, 2013
Type
Physician Locum Tenens
License number
Nebraska 1647
Address
Nebraska
Category
Medicine
Issued Date
May 4, 1993
Effective Date
Oct 2, 1996
Type
Backup PA Supervisor
License number
Nebraska 191
Address
Nebraska
Category
Medicine
Issued Date
Apr 6, 1987
Effective Date
Dec 27, 1996
Type
Physician Assistant Supervisor
License number
Nebraska 2728
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 1304
Address
Nebraska
Category
Medicine
Issued Date
Jul 11, 1997
Effective Date
Oct 3, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 708
Address
Nebraska
Category
Medicine
Issued Date
Jul 11, 1997
Effective Date
Oct 3, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 4350
Address
Nebraska
Category
Medicine
Issued Date
Aug 17, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3820
Address
Nebraska
Category
Medicine
Issued Date
May 22, 1998
Effective Date
Jul 14, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 1305
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 1997
Effective Date
Oct 3, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 709
Address
Nebraska
Category
Medicine
Issued Date
Jul 11, 1997
Effective Date
Oct 3, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 104
Address
Nebraska
Category
Medicine
Issued Date
Oct 18, 1990
Effective Date
Nov 25, 1996
Type
Osteopathic Physician & Surgeon
License number
Nebraska 2475
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1990
Effective Date
Oct 18, 1990
Type
Temporary Educational Permit
License number
Nebraska NY-00-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 18, 1982
Effective Date
Nov 22, 2004
Expiration Date
Dec 16, 1982
Type
Physician Locum Tenens
License number
Nebraska NY-00-B
Address
Nebraska
Category
Medicine
Issued Date
Dec 26, 1982
Effective Date
Nov 22, 2004
Expiration Date
Jan 3, 1983
Type
Physician Locum Tenens
License number
Nebraska 3021
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Apr 17, 1996
Type
Temporary Educational Permit
License number
Nebraska 6686
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 4619
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Feb 1, 2006
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska CA-87592-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 3, 2008
Effective Date
Nov 15, 2008
Expiration Date
Nov 15, 2008
Type
Physician Locum Tenens
License number
Nebraska 6965
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Dec 21, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit