Medical Practice Licenses in Nebraska

License number
Nebraska PA-426009-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 10, 2008
Effective Date
Mar 14, 2008
Expiration Date
Mar 14, 2008
Type
Physician Locum Tenens
License number
Nebraska CA-A16247-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 7, 1992
Effective Date
Nov 22, 2004
Expiration Date
Dec 18, 1992
Type
Physician Locum Tenens
License number
Nebraska CA-A16247-B
Address
Nebraska
Category
Medicine
Issued Date
Dec 21, 1992
Effective Date
Nov 22, 2004
Expiration Date
Dec 24, 1992
Type
Physician Locum Tenens
License number
Nebraska 1561
Address
Nebraska
Category
Medicine
Issued Date
Aug 24, 2004
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2789
Address
Nebraska
Category
Medicine
Issued Date
Oct 30, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4135
Address
Nebraska
Category
Medicine
Issued Date
Mar 8, 2001
Effective Date
May 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3656
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Jul 22, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 1122
Address
Nebraska
Category
Medicine
Issued Date
Sep 6, 2001
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4999
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 1, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 29
Address
Nebraska
Category
Medicine
Issued Date
Aug 9, 1982
Effective Date
Oct 1, 1988
Type
Osteopathic Physician & Surgeon
License number
Nebraska 2644
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska NY-152296-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 23, 1986
Effective Date
Nov 22, 2004
Expiration Date
Mar 28, 1986
Type
Physician Locum Tenens
License number
Nebraska 2160
Address
Nebraska
Category
Medicine
Issued Date
Mar 4, 1996
Effective Date
Mar 24, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 6720
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 2, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 3025
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Jul 12, 1994
Type
Temporary Educational Permit
License number
Nebraska 1904
Address
Nebraska
Category
Medicine
Issued Date
Jul 7, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1920
Address
Nebraska
Category
Medicine
Issued Date
Jul 28, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1434
Address
Nebraska
Category
Medicine
Issued Date
Nov 6, 2003
Effective Date
Nov 6, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 2270
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 2008
Effective Date
Mar 20, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4081
Address
Nebraska
Category
Medicine
Issued Date
Jan 23, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor