Medical Practice Licenses in Nebraska

License number
Nebraska 1060
Address
Nebraska
Category
Medicine
Issued Date
Feb 2, 2001
Effective Date
Feb 1, 2002
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska 2146
Address
Nebraska
Category
Medicine
Issued Date
Mar 7, 1997
Effective Date
Sep 4, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2018
Address
Nebraska
Category
Medicine
Issued Date
Mar 2, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2017
Address
Nebraska
Category
Medicine
Issued Date
Mar 2, 2007
Effective Date
Mar 30, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1152
Address
Nebraska
Category
Medicine
Issued Date
Dec 7, 2001
Effective Date
Mar 29, 2002
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska 2181
Address
Nebraska
Category
Medicine
Issued Date
Mar 10, 1997
Effective Date
May 24, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 2491
Address
Nebraska
Category
Medicine
Issued Date
Apr 20, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1518
Address
Nebraska
Category
Medicine
Issued Date
May 6, 2004
Effective Date
Jul 20, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1210
Address
Nebraska
Category
Medicine
Issued Date
May 30, 2002
Effective Date
Nov 21, 2003
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska 4717
Address
Nebraska
Category
Medicine
Issued Date
Apr 17, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 682
Address
Nebraska
Category
Medicine
Issued Date
Mar 10, 1997
Effective Date
Nov 15, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 720
Address
Nebraska
Category
Medicine
Issued Date
Mar 10, 1997
Effective Date
Nov 15, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 2261
Address
Nebraska
Category
Medicine
Issued Date
Apr 16, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1792
Address
Nebraska
Category
Medicine
Issued Date
Dec 21, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1793
Address
Nebraska
Category
Medicine
Issued Date
Dec 21, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4298
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2000
Effective Date
Jul 2, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 316
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Jan 1, 1991
Effective Date
Jan 10, 2013
Expiration Date
Dec 31, 2012
Type
Registered Environmental Health Spec
License number
Nebraska AZ-14652-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 15, 2013
Effective Date
Aug 3, 2013
Expiration Date
Aug 3, 2013
Type
Physician Locum Tenens
License number
Nebraska 5460
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Apr 30, 2015
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 474
Address
Nebraska
Category
Medicine
Issued Date
Jan 12, 1995
Effective Date
Dec 31, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 118
Address
Nebraska
Category
Medicine
Issued Date
Jun 15, 1978
Effective Date
Dec 31, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 4089
Address
Nebraska
Category
Medicine
Issued Date
Jan 24, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3422
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Jun 24, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska OH-34005989-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 26, 2015
Effective Date
Jan 19, 2016
Expiration Date
Jan 4, 2016
Type
Physician Locum Tenens