Medical Practice Licenses in Nebraska

License number
Nebraska 324
Address
Nebraska
Category
Medicine
Issued Date
Apr 15, 2002
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 1818
Address
Nebraska
Category
Medicine
Issued Date
Jan 19, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4102
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
Apr 15, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 2482
Address
Nebraska
Category
Medicine
Issued Date
Apr 20, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4542
Address
Nebraska
Category
Medicine
Issued Date
Oct 31, 2001
Effective Date
Sep 10, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4103
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
Nov 10, 1999
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 5513
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jun 24, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 2127
Address
Nebraska
Category
Medicine
Issued Date
Sep 14, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2131
Address
Nebraska
Category
Medicine
Issued Date
Sep 20, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska CA-G53120-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 2017
Effective Date
Feb 1, 2017
Expiration Date
May 1, 2017
Type
Physician Locum Tenens
License number
Nebraska 6019
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Feb 24, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 552
Address
Nebraska
Category
Medicine
Issued Date
Oct 7, 1996
Effective Date
Oct 2, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 1546
Address
Nebraska
Category
Medicine
Issued Date
Feb 19, 1997
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 1199
Address
Nebraska
Category
Medicine
Issued Date
Feb 19, 1997
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 428
Address
Nebraska
Category
Medicine
Issued Date
Oct 7, 1996
Effective Date
Dec 12, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 6162
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 7, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 2419
Address
Nebraska
Category
Medicine
Issued Date
Jan 2, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2151
Address
Nebraska
Category
Medicine
Issued Date
Oct 17, 2007
Effective Date
Jan 12, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska CA-G20360-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 1999
Effective Date
Nov 22, 2004
Expiration Date
Oct 12, 1999
Type
Physician Locum Tenens