Medical Practice Licenses in Nebraska

License number
Nebraska 3941
Address
Nebraska
Category
Medicine
Issued Date
Nov 15, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1108
Address
Nebraska
Category
Medicine
Issued Date
Aug 22, 2001
Effective Date
Nov 14, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 6766
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska UT78977931204-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 15, 2013
Effective Date
Oct 25, 2013
Expiration Date
Oct 21, 2013
Type
Physician Locum Tenens
License number
Nebraska 1228
Address
Nebraska
Category
Medicine
Issued Date
Sep 12, 2014
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 7052
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Sep 12, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 5619
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Apr 13, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 3699
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Jul 2, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 3705
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Aug 17, 2000
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 4354
Address
Nebraska
Category
Medicine
Issued Date
Oct 10, 2000
Effective Date
Jul 2, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 5196
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
Dec 12, 2008
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 6236
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Apr 25, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 3641
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Sep 22, 1998
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 226
Address
Nebraska
Category
Medicine
Issued Date
Mar 27, 1996
Effective Date
Sep 5, 1996
Type
Physician Assistant Supervisor
License number
Nebraska 3471
Address
Nebraska
Category
Medicine
Issued Date
Jan 10, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3087
Address
Nebraska
Category
Medicine
Issued Date
May 12, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3918
Address
Nebraska
Category
Medicine
Issued Date
Oct 24, 2000
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 2004
Address
Nebraska
Category
Medicine
Issued Date
Feb 2, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2641
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Feb 9, 1993
Type
Temporary Educational Permit