Medical Practice Licenses in Nebraska

License number
Nebraska 436
Address
Nebraska
Category
Medicine
Issued Date
Aug 29, 1994
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3752
Address
Nebraska
Category
Medicine
Issued Date
Jul 20, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2878
Address
Nebraska
Category
Medicine
Issued Date
Dec 22, 1998
Effective Date
Jun 3, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 2656
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Oct 28, 1993
Type
Temporary Educational Permit
License number
Nebraska 2657
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 14, 1994
Type
Temporary Educational Permit
License number
Nebraska 658
Address
Nebraska
Category
Medicine
Issued Date
Feb 13, 2009
Effective Date
Sep 4, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 6482
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 11, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 3229
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Oct 1, 1996
Type
Temporary Educational Permit
License number
Nebraska 3586
Address
Nebraska
Category
Medicine
Issued Date
Jul 3, 1996
Effective Date
Jun 30, 1997
Type
Temporary Educational Permit
License number
Nebraska 147
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 1993
Effective Date
Oct 3, 2014
Expiration Date
Oct 1, 2014
Type
Osteopathic Physician & Surgeon
License number
Nebraska 3712
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Sep 22, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 2520
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1990
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska FL-34088-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 26, 1991
Effective Date
Nov 22, 2004
Expiration Date
Jul 3, 1991
Type
Physician Locum Tenens
License number
Nebraska 6077
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 27, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska NY-227919-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 26, 2009
Effective Date
Jan 20, 2010
Expiration Date
Jan 20, 2010
Type
Physician Locum Tenens
License number
Nebraska 3849
Address
Nebraska
Category
Medicine
Issued Date
Oct 3, 2000
Effective Date
Sep 1, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska SD-9503-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2016
Effective Date
Jul 15, 2016
Expiration Date
May 28, 2016
Type
Physician Locum Tenens
License number
Nebraska CO-52868-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 8, 2013
Effective Date
Nov 18, 2013
Expiration Date
Nov 11, 2013
Type
Physician Locum Tenens
License number
Nebraska 138
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Dec 1, 1967
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 6774
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Nov 25, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 6980
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit