Medical Practice Licenses in Nebraska

License number
Nebraska 858
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 2000
Effective Date
Jan 4, 2001
Expiration Date
Dec 27, 2001
Type
Temporary Physician Assistant
License number
Nebraska 5426
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 2, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 3439
Address
Nebraska
Category
Medicine
Issued Date
Jul 17, 1995
Effective Date
Aug 4, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska WI-18266-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 1, 1983
Effective Date
Nov 22, 2004
Expiration Date
Aug 13, 1983
Type
Physician Locum Tenens
License number
Nebraska 6221
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2010
Effective Date
Jul 2, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 6779
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 6483
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Mar 20, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 6602
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 12, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska FL-ME113293-B
Address
Nebraska
Category
Medicine
Issued Date
Dec 24, 2012
Effective Date
Dec 31, 2012
Expiration Date
Dec 30, 2012
Type
Physician Locum Tenens
License number
Nebraska FL-ME113293-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 10, 2012
Effective Date
Dec 15, 2012
Expiration Date
Dec 15, 2012
Type
Physician Locum Tenens
License number
Nebraska 3220
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2587
Address
Nebraska
Category
Medicine
Issued Date
Jun 10, 1998
Effective Date
Oct 20, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1284
Address
Nebraska
Category
Medicine
Issued Date
Oct 16, 1989
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3464
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 2000
Effective Date
Nov 14, 2001
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3380
Address
Nebraska
Category
Medicine
Issued Date
Nov 5, 1999
Effective Date
Oct 1, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4571
Address
Nebraska
Category
Medicine
Issued Date
Nov 16, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1502
Address
Nebraska
Category
Medicine
Issued Date
Oct 3, 1991
Effective Date
Jun 1, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1396
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 2003
Effective Date
Jul 25, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 6924
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 11, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 4259
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2000
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit