Medical Practice Licenses in Nebraska

License number
Nebraska WY-3864A-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 29, 1988
Effective Date
Nov 22, 2004
Expiration Date
Apr 29, 1988
Type
Physician Locum Tenens
License number
Nebraska 1897
Address
Nebraska
Category
Medicine
Issued Date
Jul 5, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2414
Address
Nebraska
Category
Medicine
Issued Date
Dec 11, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 411
Address
Nebraska
Category
Medicine
Issued Date
Jan 21, 1994
Effective Date
Nov 23, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 4423
Address
Nebraska
Category
Medicine
Issued Date
Aug 27, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4428
Address
Nebraska
Category
Medicine
Issued Date
Aug 27, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3265
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Sep 1, 2001
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1898
Address
Nebraska
Category
Medicine
Issued Date
Jul 5, 2006
Effective Date
Oct 31, 2008
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 6925
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jun 22, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 1928
Address
Nebraska
Category
Medicine
Issued Date
Aug 17, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4386
Address
Nebraska
Category
Medicine
Issued Date
May 25, 2001
Effective Date
Jun 1, 2006
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska 7016
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 2379
Address
Nebraska
Category
Medicine
Issued Date
Sep 4, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 5167
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2005
Effective Date
Oct 19, 2007
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 3939
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 2000
Effective Date
Apr 29, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3127
Address
Nebraska
Category
Medicine
Issued Date
Jul 2, 1999
Effective Date
Sep 16, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3785
Address
Nebraska
Category
Medicine
Issued Date
Aug 16, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3404
Address
Nebraska
Category
Medicine
Issued Date
Dec 8, 1999
Effective Date
Aug 3, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor