Medical Practice Licenses in Nebraska

License number
Nebraska 4629
Address
Nebraska
Category
Medicine
Issued Date
Jan 8, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 6618
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Aug 8, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 2686
Address
Nebraska
Category
Medicine
Issued Date
Jul 31, 1998
Effective Date
Oct 2, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 90
Address
Nebraska
Category
Medicine
Issued Date
Aug 17, 1989
Effective Date
Oct 2, 2000
Expiration Date
Oct 1, 2000
Type
Osteopathic Physician & Surgeon
License number
Nebraska FL-0017633-B
Address
Nebraska
Category
Medicine
Issued Date
Nov 11, 2004
Effective Date
Dec 3, 2004
Expiration Date
Dec 3, 2004
Type
Physician Locum Tenens
License number
Nebraska FL-17633-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 3, 2004
Effective Date
Sep 30, 2004
Expiration Date
Sep 10, 2004
Type
Physician Locum Tenens
License number
Nebraska 80
Address
Nebraska
Category
Medicine
Issued Date
Mar 16, 1989
Effective Date
Oct 1, 1990
Type
Osteopathic Physician & Surgeon
License number
Nebraska 687
Address
Nebraska
Category
Medicine
Issued Date
Dec 11, 1989
Effective Date
Sep 30, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 295
Address
Nebraska
Category
Medicine
Issued Date
Aug 19, 1996
Effective Date
Oct 19, 1999
Expiration Date
Oct 1, 1999
Type
Physician Assistant Supervisor
License number
Nebraska 3183
Address
Nebraska
Category
Medicine
Issued Date
Aug 30, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5943
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Jul 24, 2008
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 1013
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 1996
Effective Date
Oct 1, 1997
Type
Backup PA Supervisor
License number
Nebraska 734
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2090
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1026
Address
Nebraska
Category
Medicine
Issued Date
Sep 19, 1997
Effective Date
Aug 4, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 3195
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Sep 10, 1997
Type
Temporary Educational Permit
License number
Nebraska 526
Address
Nebraska
Category
Medicine
Issued Date
Sep 17, 1992
Effective Date
Nov 15, 1994
Expiration Date
Oct 1, 1998
Type
Temporary Physician Assistant
License number
Nebraska 4083
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 TX-144884-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 26, 1989
Effective Date
Nov 22, 2004
Expiration Date
Dec 29, 1989
Type
Physician Locum Tenens