Medical Practice Licenses in Nebraska

License number
Nebraska 2340
Address
Nebraska
Category
Medicine
Issued Date
Jul 15, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2680
Address
Nebraska
Category
Medicine
Issued Date
Jul 16, 1998
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 2691
Address
Nebraska
Category
Medicine
Issued Date
Jul 31, 1998
Effective Date
Oct 1, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3205
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 1999
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 2114
Address
Nebraska
Category
Medicine
Issued Date
Aug 27, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3920
Address
Nebraska
Category
Medicine
Issued Date
Oct 24, 2000
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3469
Address
Nebraska
Category
Medicine
Issued Date
Jan 10, 2000
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 6667
Address
Nebraska
Category
Medicine
Issued Date
May 8, 2012
Effective Date
Oct 22, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 1234
Address
Nebraska
Category
Medicine
Issued Date
Aug 6, 2002
Effective Date
Aug 23, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1214
Address
Nebraska
Category
Medicine
Issued Date
Sep 26, 1988
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3999
Address
Nebraska
Category
Medicine
Issued Date
Dec 22, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2067
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 1996
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 2169
Address
Nebraska
Category
Medicine
Issued Date
Nov 30, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4004
Address
Nebraska
Category
Medicine
Issued Date
Dec 22, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3459
Address
Nebraska
Category
Medicine
Issued Date
Jan 3, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2152
Address
Nebraska
Category
Medicine
Issued Date
Oct 18, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1211
Address
Nebraska
Category
Medicine
Issued Date
Sep 26, 1988
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 511
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 1996
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 2519
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1990
Effective Date
Jul 2, 1991
Type
Temporary Educational Permit
License number
Nebraska IL-036-087738-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 13, 1998
Effective Date
Nov 22, 2004
Expiration Date
Jan 31, 1998
Type
Physician Locum Tenens
License number
Nebraska 5691
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 2, 2008
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 7473
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2015
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit