Medical Practice Licenses in Nebraska

License number
Nebraska 2968
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Aug 2, 1994
Type
Temporary Educational Permit
License number
Nebraska 4627
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Jul 20, 2004
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 1787
Address
Nebraska
Category
Medicine
Issued Date
Jan 16, 1996
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 2481
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1990
Effective Date
Jul 2, 1991
Type
Temporary Educational Permit
License number
Nebraska 2807
Address
Nebraska
Category
Medicine
Issued Date
Nov 4, 1998
Effective Date
Oct 19, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 2483
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1990
Effective Date
Jul 2, 1991
Type
Temporary Educational Permit
License number
Nebraska 2808
Address
Nebraska
Category
Medicine
Issued Date
Nov 4, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1036
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 2001
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2809
Address
Nebraska
Category
Medicine
Issued Date
Nov 4, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska TX-G8116-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 13, 1985
Effective Date
Feb 5, 2007
Expiration Date
Dec 28, 1985
Type
Physician Locum Tenens
License number
Nebraska 3222
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Aug 10, 1995
Type
Temporary Educational Permit
License number
Nebraska 3223
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Aug 10, 1995
Type
Temporary Educational Permit
License number
Nebraska 5504
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Aug 5, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 5576
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 11, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 5491
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 2, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 3862
Address
Nebraska
Category
Medicine
Issued Date
Oct 12, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3539
Address
Nebraska
Category
Medicine
Issued Date
Jan 27, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2051
Address
Nebraska
Category
Medicine
Issued Date
May 1, 1996
Effective Date
Aug 10, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 376
Address
Nebraska
Category
Medicine
Issued Date
Oct 1, 1997
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 5720
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 2, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 4034
Address
Nebraska
Category
Medicine
Issued Date
Jun 7, 1999
Effective Date
Oct 2, 2000
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 888
Address
Nebraska
Category
Medicine
Issued Date
Apr 14, 1993
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2829
Address
Nebraska
Category
Medicine
Issued Date
Nov 12, 1998
Effective Date
Sep 16, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 833
Address
Nebraska
Category
Medicine
Issued Date
Aug 2, 1999
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1866
Address
Nebraska
Category
Medicine
Issued Date
May 3, 2006
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 2040
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 2007
Effective Date
Aug 17, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor