Medical Practice Licenses in Nebraska

License number
Nebraska CO-22255-C
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1988
Effective Date
Nov 22, 2004
Expiration Date
Jul 3, 1988
Type
Physician Locum Tenens
License number
Nebraska CO-22255-B
Address
Nebraska
Category
Medicine
Issued Date
Mar 28, 1988
Effective Date
Nov 22, 2004
Expiration Date
Apr 10, 1988
Type
Physician Locum Tenens
License number
Nebraska CO-22255-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1987
Effective Date
Nov 22, 2004
Expiration Date
Nov 1, 1987
Type
Physician Locum Tenens
License number
Nebraska CO-22255-D
Address
Nebraska
Category
Medicine
Issued Date
Jan 11, 1990
Effective Date
Nov 22, 2004
Expiration Date
Jan 14, 1990
Type
Physician Locum Tenens
License number
Nebraska 6304
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Apr 13, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 3770
Address
Nebraska
Category
Medicine
Issued Date
Aug 7, 2000
Effective Date
Jul 29, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2975
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Sep 10, 1993
Type
Temporary Educational Permit
License number
Nebraska 2543
Address
Nebraska
Category
Medicine
Issued Date
May 5, 1998
Effective Date
Nov 23, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 4376
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1715
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 1993
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3564
Address
Nebraska
Category
Medicine
Issued Date
Feb 3, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2403
Address
Nebraska
Category
Medicine
Issued Date
Jan 16, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2190
Address
Nebraska
Category
Medicine
Issued Date
Oct 9, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1509
Address
Nebraska
Category
Medicine
Issued Date
Nov 4, 1993
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3503
Address
Nebraska
Category
Medicine
Issued Date
Jan 13, 2000
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 2945
Address
Nebraska
Category
Medicine
Issued Date
Jan 28, 1999
Effective Date
Dec 31, 1999
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 812
Address
Nebraska
Category
Medicine
Issued Date
May 5, 1999
Effective Date
May 10, 2000
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 1008
Address
Nebraska
Category
Medicine
Issued Date
Jun 26, 2007
Effective Date
Jul 12, 2007
Expiration Date
Jun 26, 2008
Type
Temporary Physician Assistant
License number
Nebraska 2655
Address
Nebraska
Category
Medicine
Issued Date
Jun 29, 1998
Effective Date
Oct 2, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3375
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Aug 17, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 3397
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Jan 24, 1997
Type
Temporary Educational Permit
License number
Nebraska 3019
Address
Nebraska
Category
Medicine
Issued Date
Mar 17, 1999
Effective Date
Sep 10, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor