Medical Practice Licenses in Nebraska

License number
Nebraska 1776
Address
Nebraska
Category
Medicine
Issued Date
Apr 27, 1994
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4592
Address
Nebraska
Category
Medicine
Issued Date
Dec 10, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4198
Address
Nebraska
Category
Medicine
Issued Date
May 9, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 6748
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 2509
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1990
Effective Date
Jul 1, 1991
Type
Temporary Educational Permit
License number
Nebraska 6264
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Dec 18, 2012
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 3174
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2016
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 1997
Effective Date
Oct 20, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 3077
Address
Nebraska
Category
Medicine
Issued Date
May 4, 1999
Effective Date
May 25, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1794
Address
Nebraska
Category
Medicine
Issued Date
Feb 8, 1995
Effective Date
Nov 20, 1996
Type
Backup PA Supervisor
License number
Nebraska 615
Address
Nebraska
Category
Medicine
Issued Date
Aug 5, 2008
Effective Date
Oct 3, 2014
Expiration Date
Oct 1, 2014
Type
Osteopathic Physician & Surgeon
License number
Nebraska 5686
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Aug 5, 2008
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska WV-13000-C
Address
Nebraska
Category
Medicine
Issued Date
May 3, 1993
Effective Date
Nov 22, 2004
Expiration Date
May 7, 1993
Type
Physician Locum Tenens
License number
Nebraska WV-13000-B
Address
Nebraska
Category
Medicine
Issued Date
Apr 26, 1993
Effective Date
Nov 22, 2004
Expiration Date
Apr 30, 1993
Type
Physician Locum Tenens
License number
Nebraska WV-13000-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 12, 1993
Effective Date
Nov 22, 2004
Expiration Date
Apr 19, 1993
Type
Physician Locum Tenens
License number
Nebraska WV-13000-D
Address
Nebraska
Category
Medicine
Issued Date
May 10, 1993
Effective Date
Nov 22, 2004
Expiration Date
May 14, 1993
Type
Physician Locum Tenens
License number
Nebraska WV-13000-E
Address
Nebraska
Category
Medicine
Issued Date
May 17, 1993
Effective Date
Nov 22, 2004
Expiration Date
May 21, 1993
Type
Physician Locum Tenens
License number
Nebraska 385
Address
Nebraska
Category
Medicine
Issued Date
Oct 24, 1938
Type
Osteopathy
License number
Nebraska 2531
Address
Nebraska
Category
Medicine
Issued Date
May 4, 1998
Effective Date
Oct 22, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska WA-MD25050-B
Address
Nebraska
Category
Medicine
Issued Date
Feb 7, 2000
Effective Date
Nov 22, 2004
Expiration Date
Mar 6, 2000
Type
Physician Locum Tenens
License number
Nebraska WA-MD25050-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 14, 1999
Effective Date
Nov 22, 2004
Expiration Date
Aug 13, 1999
Type
Physician Locum Tenens