Medical Practice Licenses in Nebraska

License number
Nebraska 3463
Address
Nebraska
Category
Medicine
Issued Date
May 7, 1996
Effective Date
Oct 8, 1997
Type
Temporary Educational Permit
License number
Nebraska 277
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 1989
Effective Date
Mar 6, 1995
Type
Physician Assistant Supervisor
License number
Nebraska 479
Address
Nebraska
Category
Medicine
Issued Date
Mar 16, 1995
Effective Date
Nov 23, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 6116
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Sep 8, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 7519
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2015
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 6691
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jun 23, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska IL-036.122169-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 20, 2014
Effective Date
Feb 24, 2014
Expiration Date
Mar 27, 2014
Type
Physician Locum Tenens
License number
Nebraska 3797
Address
Nebraska
Category
Medicine
Issued Date
Sep 25, 1997
Effective Date
Oct 3, 2000
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 5059
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Mar 13, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 2464
Address
Nebraska
Category
Medicine
Issued Date
Mar 9, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1187
Address
Nebraska
Category
Medicine
Issued Date
Mar 6, 2002
Effective Date
Jul 25, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 1923
Address
Nebraska
Category
Medicine
Issued Date
Aug 4, 2006
Effective Date
Mar 12, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1576
Address
Nebraska
Category
Medicine
Issued Date
Sep 23, 2004
Effective Date
Jul 11, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 1958
Address
Nebraska
Category
Medicine
Issued Date
Nov 20, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska MI-407477-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 7, 1994
Effective Date
Nov 22, 2004
Expiration Date
Jun 12, 1994
Type
Physician Locum Tenens