Medical Practice Licenses in Nebraska

License number
Nebraska 3907
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Jul 22, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 4614
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 457
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 1994
Effective Date
Oct 2, 1995
Type
Physician Assistant Supervisor
License number
Nebraska 582
Address
Nebraska
Category
Medicine
Issued Date
Jan 24, 1997
Effective Date
Oct 1, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 423
Address
Nebraska
Category
Medicine
Issued Date
Mar 3, 1994
Effective Date
Mar 6, 1995
Type
Physician Assistant Supervisor
License number
Nebraska 502
Address
Nebraska
Category
Medicine
Issued Date
Oct 18, 1995
Effective Date
Oct 31, 1996
Type
Physician Assistant Supervisor
License number
Nebraska 771
Address
Nebraska
Category
Medicine
Issued Date
Oct 6, 2010
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska VA-0102201958-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 4, 2012
Effective Date
May 1, 2012
Expiration Date
Feb 15, 2012
Type
Physician Locum Tenens
License number
Nebraska PA-017530L-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 27, 1985
Effective Date
Nov 22, 2004
Expiration Date
Aug 7, 1985
Type
Physician Locum Tenens
License number
Nebraska 2338
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1989
Effective Date
Mar 25, 1991
Type
Temporary Educational Permit
License number
Nebraska OH-004193-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 16, 2007
Effective Date
Jun 13, 2007
Expiration Date
Jun 13, 2007
Type
Physician Locum Tenens
License number
Nebraska 3139
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Aug 4, 1994
Type
Temporary Educational Permit
License number
Nebraska 1171
Address
Nebraska
Category
Medicine
Issued Date
Jan 24, 2002
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 795
Address
Nebraska
Category
Medicine
Issued Date
Jan 5, 2011
Effective Date
Oct 2, 2012
Expiration Date
Oct 1, 2012
Type
Osteopathic Physician & Surgeon
License number
Nebraska 5086
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 2, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 558
Address
Nebraska
Category
Medicine
Issued Date
Sep 21, 2007
Effective Date
Oct 2, 2010
Expiration Date
Oct 1, 2010
Type
Osteopathic Physician & Surgeon
License number
Nebraska 6427
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 12, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 5063
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jun 21, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 492
Address
Nebraska
Category
Medicine
Issued Date
Aug 15, 2006
Effective Date
Oct 2, 2012
Expiration Date
Oct 1, 2012
Type
Osteopathic Physician & Surgeon
License number
Nebraska TX-N6000-B
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 2011
Effective Date
Oct 26, 2011
Expiration Date
Oct 26, 2011
Type
Physician Locum Tenens