Medical Practice Licenses in Nebraska

License number
Nebraska AZ-4870-A
Address
Nebraska
Category
Medicine
Issued Date
May 23, 1983
Effective Date
Nov 22, 2004
Expiration Date
Jun 11, 1983
Type
Physician Locum Tenens
License number
Nebraska KS-4-9667-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 27, 1989
Effective Date
Nov 22, 2004
Expiration Date
Dec 3, 1989
Type
Physician Locum Tenens
License number
Nebraska 2845
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 5103
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Feb 10, 2011
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 276
Address
Nebraska
Category
Medicine
Issued Date
Oct 1, 2000
Effective Date
Oct 2, 2002
Expiration Date
Oct 1, 2002
Type
Osteopathic Physician & Surgeon
License number
Nebraska 5408
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 2, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 6422
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Aug 31, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska MI-4301079686-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 24, 2005
Effective Date
Mar 4, 2005
Expiration Date
Mar 4, 2005
Type
Physician Locum Tenens
License number
Nebraska 4685
Address
Nebraska
Category
Medicine
Issued Date
Mar 5, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4687
Address
Nebraska
Category
Medicine
Issued Date
Mar 5, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4688
Address
Nebraska
Category
Medicine
Issued Date
Mar 5, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4686
Address
Nebraska
Category
Medicine
Issued Date
Mar 5, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor