Medical Practice Licenses in Nebraska

License number
Nebraska 4587
Address
Nebraska
Category
Medicine
Issued Date
Dec 6, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4589
Address
Nebraska
Category
Medicine
Issued Date
Dec 6, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2313
Address
Nebraska
Category
Medicine
Issued Date
Jun 12, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2640
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Aug 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 5913
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Apr 9, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 6215
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 5911
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Jul 22, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska OK-10127-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 26, 1999
Effective Date
Nov 22, 2004
Expiration Date
Aug 13, 1999
Type
Physician Locum Tenens
License number
Nebraska 2527
Address
Nebraska
Category
Medicine
Issued Date
May 4, 1998
Effective Date
Mar 1, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 4823
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
Sep 26, 2005
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska 3694
Address
Nebraska
Category
Medicine
Issued Date
May 3, 2000
Effective Date
Oct 10, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 2065
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 1996
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1478
Address
Nebraska
Category
Medicine
Issued Date
Oct 23, 1997
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4833
Address
Nebraska
Category
Medicine
Issued Date
Aug 6, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3018
Address
Nebraska
Category
Medicine
Issued Date
Mar 2, 1999
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4008
Address
Nebraska
Category
Medicine
Issued Date
Dec 22, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4669
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Apr 7, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 4028
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
Jul 1, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska CA-2006024402-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 19, 2011
Effective Date
Oct 3, 2011
Expiration Date
Oct 3, 2011
Type
Physician Locum Tenens
License number
Nebraska 6083
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 11, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit