Medical Practice Licenses in Nebraska

License number
Nebraska 2234
Address
Nebraska
Category
Medicine
Issued Date
Mar 6, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3254
Address
Nebraska
Category
Medicine
Issued Date
Sep 1, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4754
Address
Nebraska
Category
Medicine
Issued Date
Apr 1, 2003
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 495
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 1997
Effective Date
Nov 23, 1999
Expiration Date
Oct 1, 1999
Type
Physician Assistant Supervisor
License number
Nebraska 2425
Address
Nebraska
Category
Medicine
Issued Date
Jan 6, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2795
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jun 30, 1997
Type
Temporary Educational Permit
License number
Nebraska 690
Address
Nebraska
Category
Medicine
Issued Date
Jun 29, 1998
Effective Date
Oct 1, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 5483
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 11, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 5275
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
Dec 7, 2007
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 571
Address
Nebraska
Category
Medicine
Issued Date
Dec 7, 2007
Effective Date
Oct 12, 2010
Expiration Date
Oct 1, 2010
Type
Osteopathic Physician & Surgeon
License number
Nebraska 3720
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 SD-4525-B
Address
Nebraska
Category
Medicine
Issued Date
Feb 18, 2006
Effective Date
Jul 20, 2006
Expiration Date
Feb 26, 2006
Type
Physician Locum Tenens
License number
Nebraska SD-4525-E
Address
Nebraska
Category
Medicine
Issued Date
Jul 13, 2006
Effective Date
Jul 20, 2006
Expiration Date
Jul 23, 2006
Type
Physician Locum Tenens
License number
Nebraska SD-4525-D
Address
Nebraska
Category
Medicine
Issued Date
Apr 1, 2006
Effective Date
Jul 20, 2006
Expiration Date
Apr 30, 2006
Type
Physician Locum Tenens
License number
Nebraska SD-4525-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 31, 2005
Effective Date
Jul 20, 2006
Expiration Date
Jan 15, 2006
Type
Physician Locum Tenens
License number
Nebraska HI-16678-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 6, 2013
Effective Date
Aug 11, 2015
Expiration Date
Aug 19, 2013
Type
Physician Locum Tenens
License number
Nebraska HI-16678-C
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2015
Effective Date
Aug 11, 2015
Expiration Date
Jul 18, 2015
Type
Physician Locum Tenens
License number
Nebraska HI-16678-B
Address
Nebraska
Category
Medicine
Issued Date
Apr 20, 2015
Effective Date
Aug 11, 2015
Expiration Date
Jun 30, 2015
Type
Physician Locum Tenens
License number
Nebraska 5536
Address
Nebraska
Category
Medicine
Issued Date
Sep 6, 2006
Effective Date
Jul 2, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 6029
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 2, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 2643
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 1, 1992
Type
Temporary Educational Permit