Medical Practice Licenses in Nebraska

License number
Nebraska 4665
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Mar 29, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 3022
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
May 22, 1995
Type
Temporary Educational Permit
License number
Nebraska 6918
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Dec 4, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 6282
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 12, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 1360
Address
Nebraska
Category
Medicine
Issued Date
Aug 19, 2015
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska SC-21123-C
Address
Nebraska
Category
Medicine
Issued Date
Jan 28, 2008
Effective Date
Feb 1, 2008
Expiration Date
Feb 1, 2008
Type
Physician Locum Tenens
License number
Nebraska SC-21123-B
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 2008
Effective Date
Jan 18, 2008
Expiration Date
Jan 18, 2008
Type
Physician Locum Tenens
License number
Nebraska SC-21123-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 5, 2007
Effective Date
Nov 9, 2007
Expiration Date
Nov 9, 2007
Type
Physician Locum Tenens
License number
Nebraska 3816
Address
Nebraska
Category
Medicine
Issued Date
Sep 7, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1944
Address
Nebraska
Category
Medicine
Issued Date
Oct 13, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska IA-26224-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 16, 1990
Effective Date
Nov 22, 2004
Expiration Date
Apr 20, 1990
Type
Physician Locum Tenens
License number
Nebraska SD-2813-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 20, 2006
Effective Date
Aug 30, 1971
Expiration Date
Feb 17, 2007
Type
Physician Locum Tenens
License number
Nebraska 3334
Address
Nebraska
Category
Medicine
Issued Date
Oct 7, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5011
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 2, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 6069
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 3336
Address
Nebraska
Category
Medicine
Issued Date
Oct 7, 1999
Effective Date
Nov 15, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3335
Address
Nebraska
Category
Medicine
Issued Date
Oct 7, 1999
Effective Date
Nov 15, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 5890
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Jul 2, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska TX-N2454-A
Address
Nebraska
Category
Medicine
Issued Date
May 5, 2014
Effective Date
May 19, 2014
Expiration Date
Aug 2, 2014
Type
Physician Locum Tenens