Medical Practice Licenses in Nebraska

License number
Nebraska 1038
Address
Nebraska
Category
Medicine
Issued Date
Sep 1, 1989
Effective Date
Jan 16, 1991
Type
Backup PA Supervisor
License number
Nebraska 183
Address
Nebraska
Category
Medicine
Issued Date
Oct 29, 1986
Effective Date
Jan 16, 1991
Type
Physician Assistant Supervisor
License number
Nebraska 3639
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Mar 30, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 6038
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Feb 7, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska OH-35.057763-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 5, 2012
Effective Date
Apr 11, 2013
Expiration Date
Jan 11, 2013
Type
Physician Locum Tenens
License number
Nebraska 2020
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1987
Effective Date
Jul 1, 1987
Expiration Date
Sep 14, 1988
Type
Temporary Educational Permit
License number
Nebraska 6772
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Aug 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska ND-8128-B
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 2017
Effective Date
Feb 1, 2017
Expiration Date
Apr 14, 2017
Type
Physician Locum Tenens
License number
Nebraska AL-13456-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 1989
Effective Date
Nov 22, 2004
Expiration Date
Oct 18, 1989
Type
Physician Locum Tenens
License number
Nebraska 6066
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 11, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 4938
Address
Nebraska
Category
Medicine
Issued Date
Jan 8, 2004
Effective Date
Apr 22, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 4890
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
Jan 8, 2004
Expiration Date
Jul 1, 2004
Type
Temporary Educational Permit
License number
Nebraska GA-010404-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 6, 1992
Effective Date
Nov 22, 2004
Expiration Date
Jan 10, 1992
Type
Physician Locum Tenens
License number
Nebraska GA-010404-B
Address
Nebraska
Category
Medicine
Issued Date
Jan 13, 1992
Effective Date
Nov 22, 2004
Expiration Date
Jan 17, 1992
Type
Physician Locum Tenens
License number
Nebraska 4839
Address
Nebraska
Category
Medicine
Issued Date
Aug 6, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 749
Address
Nebraska
Category
Medicine
Issued Date
Dec 1, 1995
Effective Date
Aug 1, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1002
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 1991
Effective Date
Oct 2, 1995
Type
Backup PA Supervisor
License number
Nebraska 753
Address
Nebraska
Category
Medicine
Issued Date
Oct 3, 1991
Effective Date
Jan 6, 1994
Type
Backup PA Supervisor
License number
Nebraska 2371
Address
Nebraska
Category
Medicine
Issued Date
Dec 29, 1997
Effective Date
Oct 3, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1702
Address
Nebraska
Category
Medicine
Issued Date
Sep 17, 1993
Effective Date
Aug 1, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 3338
Address
Nebraska
Category
Medicine
Issued Date
Oct 18, 1999
Effective Date
Nov 28, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor