Medical Practice Licenses in Nebraska

License number
Nebraska 4220
Address
Nebraska
Category
Medicine
Issued Date
May 16, 2001
Effective Date
Nov 14, 2001
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3604
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Oct 11, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1773
Address
Nebraska
Category
Medicine
Issued Date
Apr 2, 1997
Effective Date
Sep 30, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 3595
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 3590
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Nov 14, 2001
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3607
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Oct 11, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1410
Address
Nebraska
Category
Medicine
Issued Date
Jan 19, 1995
Effective Date
Oct 1, 1997
Type
Backup PA Supervisor
License number
Nebraska 3598
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Oct 11, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1164
Address
Nebraska
Category
Medicine
Issued Date
Sep 22, 1989
Effective Date
Sep 25, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 3601
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Oct 11, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1414
Address
Nebraska
Category
Medicine
Issued Date
Apr 22, 1997
Effective Date
Oct 1, 1997
Type
Backup PA Supervisor
License number
Nebraska 4148
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 2001
Effective Date
Jul 6, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4075
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
Aug 2, 2001
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska CO-30560-B
Address
Nebraska
Category
Medicine
Issued Date
Jan 9, 2017
Effective Date
Jan 19, 2017
Expiration Date
Jan 16, 2017
Type
Physician Locum Tenens
License number
Nebraska CO-30560-C
Address
Nebraska
Category
Medicine
Issued Date
Feb 23, 2017
Effective Date
Feb 27, 2017
Expiration Date
Feb 27, 2017
Type
Physician Locum Tenens
License number
Nebraska OH-35065108-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 5, 2006
Effective Date
Sep 8, 2006
Expiration Date
Sep 8, 2006
Type
Physician Locum Tenens
License number
Nebraska MD-D0032051-B
Address
Nebraska
Category
Medicine
Issued Date
Jan 18, 2016
Effective Date
Jan 25, 2016
Expiration Date
Jan 24, 2016
Type
Physician Locum Tenens
License number
Nebraska MD-D0032051-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 2016
Effective Date
Jan 11, 2016
Expiration Date
Jan 10, 2016
Type
Physician Locum Tenens
License number
Nebraska 2792
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jul 2, 1994
Type
Temporary Educational Permit
License number
Nebraska 2254
Address
Nebraska
Category
Medicine
Issued Date
Apr 4, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2039
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 2007
Effective Date
Jun 30, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor