Medical Practice Licenses in Nebraska

License number
Nebraska 4328
Address
Nebraska
Category
Medicine
Issued Date
Jul 17, 2000
Effective Date
Nov 7, 2000
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 2227
Address
Nebraska
Category
Medicine
Issued Date
Sep 26, 1997
Effective Date
Oct 6, 1997
Type
Backup PA Supervisor
License number
Nebraska 338
Address
Nebraska
Category
Medicine
Issued Date
May 20, 1993
Effective Date
Aug 8, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1881
Address
Nebraska
Category
Medicine
Issued Date
Sep 26, 1997
Effective Date
Oct 6, 1997
Type
Backup PA Supervisor
License number
Nebraska 564
Address
Nebraska
Category
Medicine
Issued Date
Oct 6, 1997
Effective Date
Oct 1, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 2517
Address
Nebraska
Category
Medicine
Issued Date
Jun 30, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 562
Address
Nebraska
Category
Medicine
Issued Date
Jan 9, 1997
Effective Date
Aug 8, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 2382
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2969
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Type
Temporary Educational Permit
License number
Nebraska 4747
Address
Nebraska
Category
Medicine
Issued Date
Dec 16, 2002
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 1636
Address
Nebraska
Category
Medicine
Issued Date
Oct 11, 1994
Effective Date
Feb 1, 1996
Type
Backup PA Supervisor
License number
Nebraska 5620
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jun 15, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 2846
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 1856
Address
Nebraska
Category
Medicine
Issued Date
Mar 31, 2006
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 1492
Address
Nebraska
Category
Medicine
Issued Date
Feb 3, 2004
Effective Date
Oct 2, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor