Medical Practice Licenses in Nebraska

License number
Nebraska 2813
Address
Nebraska
Category
Medicine
Issued Date
Nov 6, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4031
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3981
Address
Nebraska
Category
Medicine
Issued Date
Dec 20, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2816
Address
Nebraska
Category
Medicine
Issued Date
Nov 6, 1998
Effective Date
May 31, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3495
Address
Nebraska
Category
Medicine
Issued Date
Jan 13, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1506
Address
Nebraska
Category
Medicine
Issued Date
Mar 12, 2004
Effective Date
Jan 19, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 2506
Address
Nebraska
Category
Medicine
Issued Date
May 12, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3433
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1969
Address
Nebraska
Category
Medicine
Issued Date
Jan 23, 1995
Effective Date
Aug 24, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1826
Address
Nebraska
Category
Medicine
Issued Date
Jan 25, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4016
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
Jul 22, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 3110
Address
Nebraska
Category
Medicine
Issued Date
Apr 18, 1994
Effective Date
Mar 27, 1995
Type
Temporary Educational Permit
License number
Nebraska 6117
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 12, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 3669
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Oct 7, 1999
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 4193
Address
Nebraska
Category
Medicine
Issued Date
May 9, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4214
Address
Nebraska
Category
Medicine
Issued Date
May 16, 2001
Effective Date
Nov 14, 2001
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2620
Address
Nebraska
Category
Medicine
Issued Date
Jun 17, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3170
Address
Nebraska
Category
Medicine
Issued Date
Aug 10, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 735
Address
Nebraska
Category
Medicine
Issued Date
Nov 24, 1998
Effective Date
Nov 14, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 2626
Address
Nebraska
Category
Medicine
Issued Date
Jun 17, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2614
Address
Nebraska
Category
Medicine
Issued Date
Jun 17, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3219
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 1999
Effective Date
Jul 19, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4137
Address
Nebraska
Category
Medicine
Issued Date
Mar 15, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska UT-74-156147-B
Address
Nebraska
Category
Medicine
Issued Date
Jun 16, 1997
Effective Date
Nov 22, 2004
Expiration Date
Jul 7, 1997
Type
Physician Locum Tenens
License number
Nebraska UT-74-156147-A
Address
Nebraska
Category
Medicine
Issued Date
May 19, 1997
Effective Date
Nov 22, 2004
Expiration Date
May 23, 1997
Type
Physician Locum Tenens
License number
Nebraska 6227
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2010
Effective Date
Jun 24, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 6266
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 2, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 4343
Address
Nebraska
Category
Medicine
Issued Date
Aug 13, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor