Medical Practice Licenses in Nebraska

License number
Nebraska 2514
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1990
Effective Date
Sep 10, 1993
Type
Temporary Educational Permit
License number
Nebraska 2545
Address
Nebraska
Category
Medicine
Issued Date
Jul 2, 1990
Effective Date
Jun 26, 1992
Type
Temporary Educational Permit
License number
Nebraska 6322
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 2384
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 2617
Address
Nebraska
Category
Medicine
Issued Date
Jun 17, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3210
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 1999
Effective Date
Jul 19, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1782
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1994
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4149
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2026
Address
Nebraska
Category
Medicine
Issued Date
Oct 6, 1995
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2137
Address
Nebraska
Category
Medicine
Issued Date
Feb 8, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1452
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1994
Effective Date
Sep 12, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1457
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1994
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1813
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1994
Effective Date
Aug 5, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 3226
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1568
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1994
Effective Date
Apr 16, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 3798
Address
Nebraska
Category
Medicine
Issued Date
Oct 14, 1997
Effective Date
Aug 12, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 3201
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Jul 30, 1998
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 6543
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Apr 5, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska IN-00-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 1982
Effective Date
Nov 22, 2004
Expiration Date
Oct 12, 1982
Type
Physician Locum Tenens
License number
Nebraska MI-4301021756-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 26, 2000
Effective Date
Oct 31, 2000
Expiration Date
Sep 22, 2000
Type
Physician Locum Tenens
License number
Nebraska 5321
Address
Nebraska
Category
Medicine
Issued Date
Sep 2, 2005
Effective Date
Jun 20, 2008
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 4703
Address
Nebraska
Category
Medicine
Issued Date
Apr 1, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1603
Address
Nebraska
Category
Medicine
Issued Date
Nov 30, 2004
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 6940
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 6367
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Aug 9, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 1150
Address
Nebraska
Category
Medicine
Issued Date
Dec 5, 2001
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1472
Address
Nebraska
Category
Medicine
Issued Date
Jan 6, 2004
Effective Date
Jun 23, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 3993
Address
Nebraska
Category
Medicine
Issued Date
Dec 21, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor