Medical Practice Licenses in Nebraska

License number
Nebraska KY-26976-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 2, 1991
Effective Date
Nov 22, 2004
Expiration Date
Dec 6, 1991
Type
Physician Locum Tenens
License number
Nebraska TX-C1825-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 31, 1989
Effective Date
Nov 22, 2004
Expiration Date
Aug 11, 1989
Type
Physician Locum Tenens
License number
Nebraska 6138
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 10, 2012
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 344
Address
Nebraska
Category
Medicine
Issued Date
Jan 31, 1992
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1764
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 1993
Effective Date
Oct 2, 1995
Type
Backup PA Supervisor
License number
Nebraska 4538
Address
Nebraska
Category
Medicine
Issued Date
Oct 24, 2001
Effective Date
Feb 19, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 783
Address
Nebraska
Category
Medicine
Issued Date
Nov 10, 1998
Effective Date
Jun 25, 1999
Expiration Date
Oct 1, 1999
Type
Temporary Physician Assistant
License number
Nebraska 5973
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 2, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 3111
Address
Nebraska
Category
Medicine
Issued Date
Jun 10, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska CA-87825-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 9, 2007
Effective Date
Nov 21, 2007
Expiration Date
Nov 21, 2007
Type
Physician Locum Tenens
License number
Nebraska 4240
Address
Nebraska
Category
Medicine
Issued Date
May 25, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4265
Address
Nebraska
Category
Medicine
Issued Date
May 25, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4270
Address
Nebraska
Category
Medicine
Issued Date
May 25, 2001
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1699
Address
Nebraska
Category
Medicine
Issued Date
Apr 1, 1996
Effective Date
Aug 29, 1996
Type
Backup PA Supervisor
License number
Nebraska MO-27860-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 17, 2009
Effective Date
Sep 15, 2009
Expiration Date
Sep 15, 2009
Type
Physician Locum Tenens
License number
Nebraska 5405
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 3618
Address
Nebraska
Category
Medicine
Issued Date
Feb 7, 1997
Effective Date
Jun 30, 1997
Type
Temporary Educational Permit
License number
Nebraska WV-15086-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 5, 1994
Effective Date
Nov 22, 2004
Expiration Date
Dec 10, 1994
Type
Physician Locum Tenens
License number
Nebraska TX-3008-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 31, 2008
Effective Date
Aug 11, 2008
Expiration Date
Aug 11, 2008
Type
Physician Locum Tenens
License number
Nebraska 6839
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Feb 14, 2017
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska CA-G46028-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 4, 2013
Effective Date
Feb 4, 2014
Expiration Date
Dec 16, 2013
Type
Physician Locum Tenens