Medical Practice Licenses in Nebraska

License number
Nebraska 754
Address
Nebraska
Category
Medicine
Issued Date
Dec 31, 1998
Effective Date
Mar 23, 1999
Expiration Date
Oct 1, 1999
Type
Physician Assistant Supervisor
License number
Nebraska 2653
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 21, 1992
Type
Temporary Educational Permit
License number
Nebraska 1835
Address
Nebraska
Category
Medicine
Issued Date
Feb 10, 2006
Effective Date
Apr 30, 2008
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3332
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 6438
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 11, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 3488
Address
Nebraska
Category
Medicine
Issued Date
Jun 20, 1996
Effective Date
Jul 15, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 1065
Address
Nebraska
Category
Medicine
Issued Date
Feb 11, 1994
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 3315
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Nov 28, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 4742
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1374
Address
Nebraska
Category
Medicine
Issued Date
Jul 10, 2003
Effective Date
Jul 20, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4750
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4748
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4752
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3062
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Jun 20, 1996
Type
Temporary Educational Permit
License number
Nebraska 4740
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4744
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 20
Address
Nebraska
Category
Medicine
Issued Date
Jul 14, 1998
Effective Date
Aug 19, 1998
Expiration Date
Oct 14, 1998
Type
90-Day Temporary Educational Permit
License number
Nebraska 3961
Address
Nebraska
Category
Medicine
Issued Date
Aug 19, 1998
Effective Date
Jul 31, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 4020
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
May 28, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 6288
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 11, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit