Medical Practice Licenses in Nebraska

License number
Nebraska 1458
Address
Nebraska
Category
Medicine
Issued Date
Dec 10, 2003
Effective Date
Oct 4, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1719
Address
Nebraska
Category
Medicine
Issued Date
Sep 1, 2005
Effective Date
Jul 15, 2008
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1355
Address
Nebraska
Category
Medicine
Issued Date
Aug 6, 2015
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 3829
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Sep 8, 1999
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 4210
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2000
Effective Date
Jun 11, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 1858
Address
Nebraska
Category
Medicine
Issued Date
Jan 9, 1995
Effective Date
Oct 1, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 1785
Address
Nebraska
Category
Medicine
Issued Date
Dec 18, 1997
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2286
Address
Nebraska
Category
Medicine
Issued Date
May 7, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2731
Address
Nebraska
Category
Medicine
Issued Date
Sep 22, 1998
Effective Date
Aug 10, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 4451
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2001
Effective Date
Jul 15, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 574
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 1997
Effective Date
Oct 2, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 2467
Address
Nebraska
Category
Medicine
Issued Date
Mar 9, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 974
Address
Nebraska
Category
Medicine
Issued Date
Aug 24, 2000
Effective Date
Dec 1, 2000
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 1438
Address
Nebraska
Category
Medicine
Issued Date
Nov 10, 2003
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 3408
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Aug 17, 1997
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 3027
Address
Nebraska
Category
Medicine
Issued Date
Mar 15, 1999
Effective Date
Jan 30, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 7050
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jun 11, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 3481
Address
Nebraska
Category
Medicine
Issued Date
Jun 20, 1996
Effective Date
Jun 30, 1997
Type
Temporary Educational Permit
License number
Nebraska 2010
Address
Nebraska
Category
Medicine
Issued Date
Jun 6, 1996
Effective Date
Sep 22, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 404
Address
Nebraska
Category
Medicine
Issued Date
Nov 4, 2004
Effective Date
Oct 2, 2010
Expiration Date
Oct 1, 2010
Type
Osteopathic Physician & Surgeon
License number
Nebraska AZ-14027-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 3, 1997
Effective Date
Nov 22, 2004
Expiration Date
Dec 19, 1997
Type
Physician Locum Tenens
License number
Nebraska 5013
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Apr 4, 2006
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska 1597
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 1995
Effective Date
Jan 30, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 6854
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit