Medical Practice Licenses in Nebraska

License number
Nebraska 1363
Address
Nebraska
Category
Medicine
Issued Date
Aug 19, 1996
Effective Date
Oct 19, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 4059
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4000
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 1999
Effective Date
May 15, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 4776
Address
Nebraska
Category
Medicine
Issued Date
Jun 6, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4775
Address
Nebraska
Category
Medicine
Issued Date
Jun 6, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2246
Address
Nebraska
Category
Medicine
Issued Date
Jan 23, 1997
Effective Date
Jun 7, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1671
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 1996
Effective Date
Oct 1, 1997
Type
Backup PA Supervisor
License number
Nebraska 1469
Address
Nebraska
Category
Medicine
Issued Date
Dec 31, 2003
Effective Date
May 4, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 2394
Address
Nebraska
Category
Medicine
Issued Date
Oct 24, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4229
Address
Nebraska
Category
Medicine
Issued Date
May 24, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1974
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 3616
Address
Nebraska
Category
Medicine
Issued Date
Jan 29, 1997
Effective Date
Feb 1, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska WI-31112-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 30, 1995
Effective Date
Nov 22, 2004
Expiration Date
Jul 5, 1995
Type
Physician Locum Tenens
License number
Nebraska 2956
Address
Nebraska
Category
Medicine
Issued Date
Jan 29, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1350
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 2003
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1550
Address
Nebraska
Category
Medicine
Issued Date
Aug 17, 1995
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5978
Address
Nebraska
Category
Medicine
Issued Date
May 4, 2009
Effective Date
Aug 9, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 4957
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2004
Effective Date
May 20, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 6690
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
May 10, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 6533
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
May 10, 2016
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 4163
Address
Nebraska
Category
Medicine
Issued Date
May 2, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3823
Address
Nebraska
Category
Medicine
Issued Date
Sep 7, 2000
Effective Date
Mar 2, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3056
Address
Nebraska
Category
Medicine
Issued Date
Mar 9, 1999
Effective Date
Jul 28, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor