Medical Practice Licenses in Nebraska

License number
Nebraska 1651
Address
Nebraska
Category
Medicine
Issued Date
May 4, 1993
Effective Date
Oct 2, 1995
Type
Backup PA Supervisor
License number
Nebraska 6781
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Apr 3, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 6495
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 11, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 227
Address
Nebraska
Category
Medicine
Issued Date
Apr 14, 1998
Effective Date
Nov 24, 2004
Expiration Date
Oct 1, 2004
Type
Osteopathic Physician
License number
Nebraska 4101
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
Jul 2, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 6995
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska IL-036.126154-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 3, 2011
Effective Date
Feb 10, 2011
Expiration Date
Jan 24, 2011
Type
Physician Locum Tenens
License number
Nebraska 1598
Address
Nebraska
Category
Medicine
Issued Date
Nov 22, 2004
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4061
Address
Nebraska
Category
Medicine
Issued Date
Jan 11, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4142
Address
Nebraska
Category
Medicine
Issued Date
Apr 18, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2463
Address
Nebraska
Category
Medicine
Issued Date
Apr 16, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5974
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Sep 16, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 3875
Address
Nebraska
Category
Medicine
Issued Date
Oct 12, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1445
Address
Nebraska
Category
Medicine
Issued Date
Nov 24, 2003
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska MO-32104-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 2, 1997
Effective Date
Nov 22, 2004
Expiration Date
Aug 10, 1997
Type
Physician Locum Tenens
License number
Nebraska 6554
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Oct 1, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 776
Address
Nebraska
Category
Medicine
Issued Date
Oct 27, 2010
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 4594
Address
Nebraska
Category
Medicine
Issued Date
Dec 12, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1423
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 2003
Effective Date
Jan 1, 2004
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1959
Address
Nebraska
Category
Medicine
Issued Date
Nov 20, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor