Medical Practice Licenses in Nebraska

License number
Nebraska 1107
Address
Nebraska
Category
Medicine
Issued Date
Sep 29, 1989
Effective Date
Nov 23, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 3740
Address
Nebraska
Category
Medicine
Issued Date
Jun 30, 2000
Effective Date
Aug 21, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 648
Address
Nebraska
Category
Medicine
Issued Date
Apr 16, 1998
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 3436
Address
Nebraska
Category
Medicine
Issued Date
Jul 3, 1995
Effective Date
Jul 20, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 5615
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 3834
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Mar 24, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 1979
Address
Nebraska
Category
Medicine
Issued Date
Feb 23, 1995
Effective Date
Oct 12, 2016
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1991
Address
Nebraska
Category
Medicine
Issued Date
Jan 16, 1998
Effective Date
Oct 12, 2016
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1735
Address
Nebraska
Category
Medicine
Issued Date
Oct 11, 1994
Effective Date
Aug 3, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 4753
Address
Nebraska
Category
Medicine
Issued Date
Mar 10, 2003
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 7256
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2014
Effective Date
Dec 21, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 3140
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Oct 20, 1995
Type
Temporary Educational Permit
License number
Nebraska 107
Address
Nebraska
Category
Medicine
Issued Date
Nov 27, 1990
Effective Date
May 3, 1995
Type
Osteopathic Physician & Surgeon
License number
Nebraska CA-G23340-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Aug 15, 2011
Expiration Date
Sep 28, 2011
Type
Physician Locum Tenens
License number
Nebraska 3715
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Jun 30, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 6334
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Sep 13, 2011
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 871
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 1996
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 2397
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1989
Effective Date
Aug 13, 1990
Type
Temporary Educational Permit
License number
Nebraska 3489
Address
Nebraska
Category
Medicine
Issued Date
Jun 20, 1996
Effective Date
Jul 17, 1997
Type
Temporary Educational Permit
License number
Nebraska 6688
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Oct 29, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska MD-34498-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 1, 2004
Effective Date
Nov 8, 2004
Expiration Date
Nov 7, 2004
Type
Physician Locum Tenens