Medical Practice Licenses in Nebraska

License number
Nebraska 3137
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Jul 14, 1995
Type
Temporary Educational Permit
License number
Nebraska 3885
Address
Nebraska
Category
Medicine
Issued Date
Oct 18, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4140
Address
Nebraska
Category
Medicine
Issued Date
Apr 3, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1238
Address
Nebraska
Category
Medicine
Issued Date
Aug 8, 2002
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 6917
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Mar 4, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 3994
Address
Nebraska
Category
Medicine
Issued Date
May 12, 1999
Effective Date
Jul 10, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 3756
Address
Nebraska
Category
Medicine
Issued Date
Jul 25, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4831
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 1797
Address
Nebraska
Category
Medicine
Issued Date
Jan 21, 1994
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4427
Address
Nebraska
Category
Medicine
Issued Date
Aug 27, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3984
Address
Nebraska
Category
Medicine
Issued Date
Dec 20, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3442
Address
Nebraska
Category
Medicine
Issued Date
Dec 29, 1999
Effective Date
Dec 31, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 6979
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 11, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska CO-46221-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 16, 2009
Effective Date
Nov 16, 2009
Expiration Date
Nov 15, 2009
Type
Physician Locum Tenens
License number
Nebraska AZ-4497-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 12, 1983
Effective Date
Nov 22, 2004
Expiration Date
Feb 2, 1983
Type
Physician Locum Tenens
License number
Nebraska 5404
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 2, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 5683
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 12, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska CO-21467-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 1, 1995
Effective Date
Nov 22, 2004
Expiration Date
Dec 1, 1995
Type
Physician Locum Tenens
License number
Nebraska 5960
Address
Nebraska
Category
Medicine
Issued Date
Oct 15, 2008
Effective Date
Feb 10, 2009
Expiration Date
Jan 31, 2009
Type
Temporary Educational Permit