Medical Practice Licenses in Nebraska

License number
Nebraska 1779
Address
Nebraska
Category
Medicine
Issued Date
Dec 5, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1824
Address
Nebraska
Category
Medicine
Issued Date
Jan 23, 2006
Effective Date
Mar 10, 2008
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 5389
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2006
Effective Date
Nov 16, 2008
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 2941
Address
Nebraska
Category
Medicine
Issued Date
May 7, 1993
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 3594
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3600
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3603
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4185
Address
Nebraska
Category
Medicine
Issued Date
May 9, 2001
Effective Date
Jul 6, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3606
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3597
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Jul 19, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska CA-G36396-B
Address
Nebraska
Category
Medicine
Issued Date
Jun 14, 1993
Effective Date
Nov 22, 2004
Expiration Date
Jun 18, 1993
Type
Physician Locum Tenens
License number
Nebraska 2339
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1989
Effective Date
Oct 22, 1992
Type
Temporary Educational Permit
License number
Nebraska 415
Address
Nebraska
Category
Medicine
Issued Date
Feb 25, 2005
Effective Date
Oct 3, 2014
Expiration Date
Oct 1, 2014
Type
Osteopathic Physician & Surgeon
License number
Nebraska 108
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Oct 1, 1964
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 4467
Address
Nebraska
Category
Medicine
Issued Date
Oct 3, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 458
Address
Nebraska
Category
Medicine
Issued Date
Nov 9, 1994
Effective Date
Oct 3, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor