Medical Practice Licenses in Nebraska

License number
Nebraska 3470
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 2230
Address
Nebraska
Category
Medicine
Issued Date
Jan 10, 1997
Effective Date
Oct 1, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 2396
Address
Nebraska
Category
Medicine
Issued Date
Jan 16, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3480
Address
Nebraska
Category
Medicine
Issued Date
Jan 11, 2000
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska TN-37880-C
Address
Nebraska
Category
Medicine
Issued Date
Dec 11, 2003
Effective Date
Dec 23, 2003
Expiration Date
Dec 14, 2003
Type
Physician Locum Tenens
License number
Nebraska TN-37880-B
Address
Nebraska
Category
Medicine
Issued Date
Oct 17, 2003
Effective Date
Dec 23, 2003
Expiration Date
Nov 1, 2003
Type
Physician Locum Tenens
License number
Nebraska TN-37880-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 19, 2003
Effective Date
Dec 23, 2003
Expiration Date
Oct 5, 2003
Type
Physician Locum Tenens
License number
Nebraska 6743
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jun 23, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 2665
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 1, 1992
Type
Temporary Educational Permit
License number
Nebraska 6694
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2012
Effective Date
Mar 9, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska OR-06678-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 1, 1989
Effective Date
Nov 22, 2004
Expiration Date
Nov 16, 1989
Type
Physician Locum Tenens
License number
Nebraska 2197
Address
Nebraska
Category
Medicine
Issued Date
Jan 16, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2307
Address
715 N Kansas Ave, Hastings, NE 68901
Category
Medical Practice
Type
Specialist