Medical Practice Licenses in Nebraska

License number
Nebraska 772
Address
Nebraska
Category
Medicine
Issued Date
Jul 26, 1993
Effective Date
Oct 2, 1994
Type
Backup PA Supervisor
License number
Nebraska ND-11439-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 5, 2012
Effective Date
Aug 29, 2012
Expiration Date
Jul 3, 2012
Type
Physician Locum Tenens
License number
Nebraska MT-10345-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 2006
Effective Date
Nov 20, 2006
Expiration Date
Nov 20, 2006
Type
Physician Locum Tenens
License number
Nebraska 3043
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Feb 25, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 3625
Address
Nebraska
Category
Medicine
Issued Date
May 16, 1997
Effective Date
Oct 7, 1998
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 1926
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1994
Effective Date
Jun 14, 1996
Type
Backup PA Supervisor
License number
Nebraska 2995
Address
Nebraska
Category
Medicine
Issued Date
Feb 16, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 7270
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2014
Effective Date
Aug 14, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 172
Address
Nebraska
Category
Medicine
Issued Date
Oct 23, 1998
Effective Date
Nov 22, 2004
Expiration Date
Jul 1, 1999
Type
Temporary Visiting Faculty Permit
License number
Nebraska 1906
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1986
Effective Date
Jul 1, 1991
Type
Temporary Educational Permit
License number
Nebraska 3578
Address
Nebraska
Category
Medicine
Issued Date
Feb 17, 2000
Effective Date
Mar 23, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4832
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
May 7, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 1590
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 1995
Effective Date
Oct 30, 1998
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska NY-161830-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 2, 1993
Effective Date
Nov 22, 2004
Expiration Date
Sep 3, 1993
Type
Physician Locum Tenens
License number
Nebraska 2776
Address
Nebraska
Category
Medicine
Issued Date
May 14, 1992
Effective Date
Jul 1, 1993
Type
Temporary Educational Permit
License number
Nebraska 4435
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2001
Effective Date
Jul 18, 2002
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 7410
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2015
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 478
Address
Nebraska
Category
Medicine
Issued Date
Jun 7, 2006
Effective Date
Oct 1, 2014
Expiration Date
Oct 1, 2014
Type
Osteopathic Physician & Surgeon
License number
Nebraska 1334
Address
Nebraska
Category
Medicine
Issued Date
Mar 26, 2003
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 2328
Address
Nebraska
Category
Medicine
Issued Date
Jul 9, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor