Medical Practice Licenses in Nebraska

License number
Nebraska 6113
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 12, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska KS-20147-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 3, 1988
Effective Date
Nov 22, 2004
Expiration Date
Feb 8, 1988
Type
Physician Locum Tenens
License number
Nebraska 1119
Address
Nebraska
Category
Medicine
Issued Date
Apr 27, 1994
Effective Date
Nov 23, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 3663
Address
Nebraska
Category
Medicine
Issued Date
Apr 14, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4606
Address
Nebraska
Category
Medicine
Issued Date
Dec 20, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 822
Address
Nebraska
Category
Medicine
Issued Date
Jul 26, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2385
Address
Nebraska
Category
Medicine
Issued Date
Sep 30, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4933
Address
Nebraska
Category
Medicine
Issued Date
Nov 3, 2003
Effective Date
Mar 30, 2004
Expiration Date
Nov 28, 2003
Type
Temporary Educational Permit
License number
Nebraska 3714
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 6541
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska DE-C1-0008197-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 4, 2009
Effective Date
Sep 10, 2009
Expiration Date
Sep 9, 2009
Type
Physician Locum Tenens
License number
Nebraska GA-043613-A
Address
Nebraska
Category
Medicine
Issued Date
May 1, 2000
Effective Date
Nov 22, 2004
Expiration Date
May 1, 2000
Type
Physician Locum Tenens
License number
Nebraska CO-28330-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 18, 1999
Effective Date
Nov 22, 2004
Expiration Date
Jan 29, 1999
Type
Physician Locum Tenens
License number
Nebraska 4060
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 2391
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1989
Effective Date
Jul 1, 1992
Type
Temporary Educational Permit