Medical Practice Licenses in Nebraska

License number
Nebraska 2035
Address
Nebraska
Category
Medicine
Issued Date
Oct 6, 1995
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1814
Address
Nebraska
Category
Medicine
Issued Date
Feb 14, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1762
Address
Nebraska
Category
Medicine
Issued Date
Oct 31, 2005
Effective Date
Jun 13, 2008
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3214
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 1999
Effective Date
Jul 19, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4192
Address
Nebraska
Category
Medicine
Issued Date
May 9, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1554
Address
Nebraska
Category
Medicine
Issued Date
Aug 9, 2004
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1569
Address
Nebraska
Category
Medicine
Issued Date
Feb 14, 1996
Effective Date
Apr 16, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1783
Address
Nebraska
Category
Medicine
Issued Date
Feb 14, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1042
Address
Nebraska
Category
Medicine
Issued Date
Jan 12, 2001
Effective Date
Feb 5, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 1454
Address
Nebraska
Category
Medicine
Issued Date
Feb 14, 1996
Effective Date
Sep 12, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4593
Address
Nebraska
Category
Medicine
Issued Date
Dec 10, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3233
Address
Nebraska
Category
Medicine
Issued Date
Sep 1, 1999
Effective Date
Nov 14, 2001
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1061
Address
Nebraska
Category
Medicine
Issued Date
Feb 5, 2001
Effective Date
Jul 6, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 2138
Address
Nebraska
Category
Medicine
Issued Date
Feb 8, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1637
Address
Nebraska
Category
Medicine
Issued Date
Feb 14, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2267
Address
Nebraska
Category
Medicine
Issued Date
Mar 4, 1998
Effective Date
May 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4454
Address
Nebraska
Category
Medicine
Issued Date
Sep 6, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1815
Address
Nebraska
Category
Medicine
Issued Date
Feb 14, 1996
Effective Date
Aug 20, 1997
Type
Backup PA Supervisor
License number
Nebraska 2031
Address
Nebraska
Category
Medicine
Issued Date
Oct 6, 1995
Effective Date
Aug 20, 1997
Type
Backup PA Supervisor
License number
Nebraska 2139
Address
Nebraska
Category
Medicine
Issued Date
Feb 8, 1996
Effective Date
Aug 20, 1997
Type
Backup PA Supervisor
License number
Nebraska 1465
Address
Nebraska
Category
Medicine
Issued Date
Feb 14, 1996
Effective Date
Aug 20, 1997
Type
Backup PA Supervisor
License number
Nebraska 1784
Address
Nebraska
Category
Medicine
Issued Date
Feb 14, 1996
Effective Date
Aug 20, 1997
Type
Backup PA Supervisor
License number
Nebraska 1609
Address
Nebraska
Category
Medicine
Issued Date
Dec 16, 2004
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1383
Address
Nebraska
Category
Medicine
Issued Date
Aug 5, 2003
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1063
Address
Nebraska
Category
Medicine
Issued Date
Feb 7, 2001
Effective Date
Jan 1, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska VA-0101027760-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 7, 1992
Effective Date
Nov 22, 2004
Expiration Date
Dec 18, 1992
Type
Physician Locum Tenens