Medical Practice Licenses in Nebraska

License number
Nebraska MI-4301032906-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 28, 2012
Effective Date
Aug 30, 2012
Expiration Date
May 8, 2012
Type
Physician Locum Tenens
License number
Nebraska MI-4301032906-B
Address
Nebraska
Category
Medicine
Issued Date
Jul 21, 2012
Effective Date
Aug 30, 2012
Expiration Date
Jul 30, 2012
Type
Physician Locum Tenens
License number
Nebraska 7600
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 6175
Address
Nebraska
Category
Medicine
Issued Date
Sep 1, 2009
Effective Date
Jun 28, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 5626
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jun 28, 2010
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 1251
Address
Nebraska
Category
Medicine
Issued Date
Sep 11, 2002
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 5543
Address
Nebraska
Category
Medicine
Issued Date
May 1, 2007
Effective Date
Jul 2, 2007
Expiration Date
May 31, 2007
Type
Temporary Educational Permit
License number
Nebraska 6203
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 CO-26275-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 10, 2015
Effective Date
Apr 6, 2015
Expiration Date
Apr 9, 2015
Type
Physician Locum Tenens
License number
Nebraska 5166
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2005
Effective Date
Jul 2, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 3745
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Aug 17, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska MD-D0029143-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 13, 2012
Effective Date
Feb 19, 2013
Expiration Date
Jul 16, 2012
Type
Physician Locum Tenens
License number
Nebraska 469
Address
Nebraska
Category
Medicine
Issued Date
Apr 21, 2006
Effective Date
Oct 3, 2014
Expiration Date
Oct 1, 2014
Type
Osteopathic Physician & Surgeon
License number
Nebraska 691
Address
Nebraska
Category
Medicine
Issued Date
Nov 25, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3178
Address
Nebraska
Category
Medicine
Issued Date
Aug 30, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska LA-MD.04548R-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 17, 2009
Effective Date
Nov 23, 2009
Expiration Date
Sep 15, 2009
Type
Physician Locum Tenens
License number
Nebraska 3948
Address
Nebraska
Category
Medicine
Issued Date
Jul 2, 1998
Effective Date
Aug 16, 2004
Expiration Date
Jul 1, 2004
Type
Temporary Educational Permit
License number
Nebraska FL-ME100051-B
Address
Nebraska
Category
Medicine
Issued Date
May 28, 2010
Effective Date
Jun 10, 2010
Expiration Date
Jun 10, 2010
Type
Physician Locum Tenens
License number
Nebraska FL-ME100051-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 27, 2010
Effective Date
May 13, 2010
Expiration Date
May 13, 2010
Type
Physician Locum Tenens
License number
Nebraska 5337
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 1, 2007
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit