Medical Practice Licenses in Nebraska

License number
Nebraska 384
Address
Nebraska
Category
Medicine
Issued Date
Jan 25, 1996
Effective Date
Oct 20, 2000
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 3894
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 2000
Effective Date
Dec 29, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4096
Address
Nebraska
Category
Medicine
Issued Date
Jan 31, 2001
Effective Date
Nov 15, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1626
Address
Nebraska
Category
Medicine
Issued Date
Jun 30, 1995
Effective Date
Dec 9, 1996
Type
Backup PA Supervisor
License number
Nebraska 4545
Address
Nebraska
Category
Medicine
Issued Date
Jun 4, 2001
Effective Date
Nov 6, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 187
Address
Nebraska
Category
Medicine
Issued Date
Dec 9, 1996
Effective Date
Oct 20, 2000
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 1479
Address
Nebraska
Category
Medicine
Issued Date
Jun 30, 1995
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 4067
Address
Nebraska
Category
Medicine
Issued Date
Jan 17, 2001
Effective Date
Nov 6, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 997
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 2000
Effective Date
Nov 6, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 1480
Address
Nebraska
Category
Medicine
Issued Date
Oct 10, 1997
Effective Date
Oct 3, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1988
Address
Nebraska
Category
Medicine
Issued Date
Jun 30, 1995
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 3890
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 2000
Effective Date
Oct 12, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 2859
Address
Nebraska
Category
Medicine
Issued Date
Dec 7, 1998
Effective Date
Oct 20, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 2516
Address
Nebraska
Category
Medicine
Issued Date
May 1, 1998
Effective Date
Oct 20, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 985
Address
Nebraska
Category
Medicine
Issued Date
Jun 30, 1995
Effective Date
Dec 9, 1996
Type
Backup PA Supervisor
License number
Nebraska 368
Address
Nebraska
Category
Medicine
Issued Date
Dec 9, 1996
Effective Date
Oct 20, 2000
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 3903
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 2000
Effective Date
Nov 6, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3910
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 2000
Effective Date
Jan 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4302
Address
Nebraska
Category
Medicine
Issued Date
Jun 15, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3860
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Sep 9, 1999
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 3976
Address
Nebraska
Category
Medicine
Issued Date
Dec 20, 2000
Effective Date
Oct 3, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3688
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Jul 23, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska KS-04-26768-B
Address
Nebraska
Category
Medicine
Issued Date
Jan 13, 2014
Effective Date
Jan 17, 2014
Expiration Date
Jan 17, 2014
Type
Physician Locum Tenens
License number
Nebraska KS-04-26768-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 23, 2013
Effective Date
Dec 27, 2013
Expiration Date
Dec 27, 2013
Type
Physician Locum Tenens
License number
Nebraska 5572
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 2, 2008
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 7025
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Aug 4, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 5332
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 2006
Effective Date
Apr 14, 2006
Expiration Date
Feb 28, 2006
Type
Temporary Educational Permit
License number
Nebraska 5585
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Feb 25, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 292
Address
Nebraska
Category
Medicine
Issued Date
Mar 29, 2001
Effective Date
Oct 2, 2006
Expiration Date
Oct 1, 2006
Type
Osteopathic Physician & Surgeon
License number
Nebraska 4440
Address
Nebraska
Category
Medicine
Issued Date
Sep 4, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4439
Address
Nebraska
Category
Medicine
Issued Date
Sep 4, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3069
Address
Nebraska
Category
Medicine
Issued Date
Apr 21, 1999
Effective Date
Jan 30, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1982
Address
Nebraska
Category
Medicine
Issued Date
Jan 11, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1101
Address
Nebraska
Category
Medicine
Issued Date
Jul 26, 2001
Effective Date
Oct 17, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 7553
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2015
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit