Medical Practice Licenses in Nebraska

License number
Nebraska 406
Address
Nebraska
Category
Medicine
Issued Date
Jan 3, 1994
Effective Date
Oct 1, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 2802
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jul 22, 1993
Type
Temporary Educational Permit
License number
Nebraska 5282
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
Oct 23, 2006
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 2295
Address
Nebraska
Category
Medicine
Issued Date
May 16, 2008
Effective Date
Jul 10, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1126
Address
Nebraska
Category
Medicine
Issued Date
May 7, 1997
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 258
Address
Nebraska
Category
Medicine
Issued Date
Mar 31, 1997
Effective Date
Oct 2, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 842
Address
Nebraska
Category
Medicine
Issued Date
May 7, 1997
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 6053
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Oct 6, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 425
Address
Nebraska
Category
Medicine
Issued Date
Apr 11, 1994
Effective Date
Jun 3, 2004
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 446
Address
Nebraska
Category
Medicine
Issued Date
Sep 8, 1995
Effective Date
Oct 2, 1996
Type
Physician Assistant Supervisor
License number
Nebraska 481
Address
Nebraska
Category
Medicine
Issued Date
Aug 18, 1997
Effective Date
Nov 3, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 1258
Address
Nebraska
Category
Medicine
Issued Date
Aug 26, 1992
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 265
Address
Nebraska
Category
Medicine
Issued Date
Nov 10, 1992
Effective Date
Jan 6, 1994
Type
Physician Assistant Supervisor
License number
Nebraska 3795
Address
Nebraska
Category
Medicine
Issued Date
Sep 19, 1997
Effective Date
Jun 11, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 6118
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Aug 31, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 2979
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Aug 4, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska AL-00019341-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 16, 1999
Effective Date
Nov 22, 2004
Expiration Date
Jan 23, 1999
Type
Physician Locum Tenens
License number
Nebraska 2453
Address
Nebraska
Category
Medicine
Issued Date
Jul 25, 1989
Effective Date
Jul 1, 1990
Type
Temporary Educational Permit
License number
Nebraska 5144
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2005
Effective Date
Aug 14, 2005
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska NC-9700284-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 2, 1998
Effective Date
Nov 22, 2004
Expiration Date
Feb 15, 1998
Type
Physician Locum Tenens
License number
Nebraska WY-2380A-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 3, 1996
Effective Date
Nov 22, 2004
Expiration Date
Aug 31, 1996
Type
Physician Locum Tenens
License number
Nebraska NC-9700284-B
Address
Nebraska
Category
Medicine
Issued Date
Feb 22, 1998
Effective Date
Nov 22, 2004
Expiration Date
Mar 23, 1998
Type
Physician Locum Tenens
License number
Nebraska 1608
Address
Nebraska
Category
Medicine
Issued Date
Dec 14, 2004
Effective Date
Aug 18, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 2235
Address
Nebraska
Category
Medicine
Issued Date
Jan 10, 1997
Effective Date
Aug 6, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2978
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 1999
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 509
Address
Nebraska
Category
Medicine
Issued Date
Dec 29, 1995
Effective Date
Apr 6, 1999
Expiration Date
Oct 1, 1999
Type
Physician Assistant Supervisor
License number
Nebraska 1508
Address
Nebraska
Category
Medicine
Issued Date
Mar 18, 2004
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 811
Address
Nebraska
Category
Medicine
Issued Date
May 4, 1999
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1874
Address
Nebraska
Category
Medicine
Issued Date
Oct 16, 1996
Effective Date
Dec 12, 1997
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 79
Address
Nebraska
Category
Medicine
Issued Date
Dec 16, 1988
Effective Date
Oct 12, 2010
Expiration Date
Oct 1, 2010
Type
Osteopathic Physician & Surgeon
License number
Nebraska 5862
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Jul 1, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 294
Address
Nebraska
Category
Medicine
Issued Date
Oct 15, 1990
Effective Date
Oct 3, 1993
Type
Physician Assistant Supervisor
License number
Nebraska 247
Address
Nebraska
Category
Medicine
Issued Date
Jun 28, 1993
Effective Date
Nov 27, 1995
Type
Physician Assistant Supervisor
License number
Nebraska 3143
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Nov 22, 1995
Type
Temporary Educational Permit
License number
Nebraska IN-01063567-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 3, 2009
Effective Date
Sep 22, 2009
Expiration Date
Sep 30, 2009
Type
Physician Locum Tenens
License number
Nebraska 1245
Address
Nebraska
Category
Medicine
Issued Date
Sep 10, 2002
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 373
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Jul 17, 2012
Effective Date
Jan 10, 2013
Expiration Date
Dec 31, 2012
Type
Registered Environmental Health Spec
License number
Nebraska 6520
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
May 19, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 6501
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 6468
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Oct 14, 2011
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit