Medical Practice Licenses in Nebraska

License number
Nebraska IL-036-75252-A
Address
Nebraska
Category
Medicine
Issued Date
May 20, 1992
Effective Date
Nov 22, 2004
Expiration Date
May 29, 1992
Type
Physician Locum Tenens
License number
Nebraska IL-036-75252-B
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 1993
Effective Date
Nov 22, 2004
Expiration Date
Feb 7, 1993
Type
Physician Locum Tenens
License number
Nebraska 1510
Address
Nebraska
Category
Medicine
Issued Date
Nov 4, 1993
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1720
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 1993
Effective Date
Apr 30, 1996
Type
Backup PA Supervisor
License number
Nebraska 2541
Address
Nebraska
Category
Medicine
Issued Date
May 5, 1998
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2333
Address
Nebraska
Category
Medicine
Issued Date
Jun 10, 1997
Effective Date
Oct 31, 1997
Type
Backup PA Supervisor
License number
Nebraska 2452
Address
Nebraska
Category
Medicine
Issued Date
Apr 15, 1998
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1707
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 1993
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska MA-228674-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 31, 2008
Effective Date
Jul 10, 2008
Expiration Date
Apr 4, 2008
Type
Physician Locum Tenens
License number
Nebraska MA-228674-B
Address
Nebraska
Category
Medicine
Issued Date
Apr 28, 2008
Effective Date
Jul 10, 2008
Expiration Date
Jun 20, 2008
Type
Physician Locum Tenens
License number
Nebraska NH-8645-A
Address
Nebraska
Category
Medicine
Issued Date
May 24, 1993
Effective Date
Nov 22, 2004
Expiration Date
May 28, 1993
Type
Physician Locum Tenens
License number
Nebraska 1809
Address
Nebraska
Category
Medicine
Issued Date
Jan 11, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1625
Address
Nebraska
Category
Medicine
Issued Date
Feb 2, 2005
Effective Date
Jan 11, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 1615
Address
Nebraska
Category
Medicine
Issued Date
Jan 12, 2005
Effective Date
Oct 25, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska WA-34474-E
Address
Nebraska
Category
Medicine
Issued Date
Sep 22, 2003
Effective Date
Sep 24, 2003
Expiration Date
Sep 28, 2003
Type
Physician Locum Tenens
License number
Nebraska WA-34474-D
Address
Nebraska
Category
Medicine
Issued Date
Sep 15, 2003
Effective Date
Sep 22, 2003
Expiration Date
Sep 21, 2003
Type
Physician Locum Tenens
License number
Nebraska WA-34474-C
Address
Nebraska
Category
Medicine
Issued Date
Sep 8, 2003
Effective Date
Sep 15, 2003
Expiration Date
Sep 14, 2003
Type
Physician Locum Tenens
License number
Nebraska WA-00034474-B
Address
Nebraska
Category
Medicine
Issued Date
Jun 30, 2003
Effective Date
Jul 3, 2003
Expiration Date
Jul 3, 2003
Type
Physician Locum Tenens
License number
Nebraska WA-00034474-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 2, 2003
Effective Date
Jun 6, 2003
Expiration Date
Jun 6, 2003
Type
Physician Locum Tenens
License number
Nebraska 4741
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4749
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4737
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4739
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4745
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4403
Address
Nebraska
Category
Medicine
Issued Date
Aug 22, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor