Medical Practice Licenses in Nebraska

License number
Nebraska AZ-5325-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 28, 1984
Effective Date
Nov 22, 2004
Expiration Date
May 5, 1984
Type
Physician Locum Tenens
License number
Nebraska 3865
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Jul 2, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska CA-A124701-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 2, 2016
Effective Date
Oct 24, 2016
Expiration Date
Jan 2, 2017
Type
Physician Locum Tenens
License number
Nebraska 1971
Address
Nebraska
Category
Medicine
Issued Date
Jan 23, 1995
Effective Date
Jul 6, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 4896
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
Apr 16, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska NH-14992-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 1, 2012
Effective Date
Jan 15, 2013
Expiration Date
Dec 29, 2012
Type
Physician Locum Tenens
License number
Nebraska 6416
Address
Nebraska
Category
Medicine
Issued Date
Oct 1, 2010
Effective Date
Sep 30, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 5579
Address
Nebraska
Category
Medicine
Issued Date
May 7, 2007
Effective Date
Oct 27, 2008
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 3584
Address
Nebraska
Category
Medicine
Issued Date
Feb 23, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 6773
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Sep 1, 2015
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 7074
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Sep 1, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska NY-089997-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 16, 1991
Effective Date
Nov 22, 2004
Expiration Date
Oct 11, 1991
Type
Physician Locum Tenens
License number
Nebraska 5667
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Feb 25, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska VA-0101238587-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 5, 2011
Effective Date
Dec 21, 2011
Expiration Date
Aug 22, 2011
Type
Physician Locum Tenens
License number
Nebraska 3105
Address
Nebraska
Category
Medicine
Issued Date
Jun 10, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5769
Address
Nebraska
Category
Medicine
Issued Date
May 5, 2008
Effective Date
Oct 27, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 1811
Address
Nebraska
Category
Medicine
Issued Date
Jan 11, 2006
Effective Date
Nov 2, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 3934
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Jun 23, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 6315
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Oct 9, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit