Medical Practice Licenses in Nebraska

License number
Nebraska TX-H0468-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 6, 1989
Effective Date
Nov 22, 2004
Expiration Date
Nov 10, 1989
Type
Physician Locum Tenens
License number
Nebraska 4394
Address
Nebraska
Category
Medicine
Issued Date
Aug 22, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3805
Address
Nebraska
Category
Medicine
Issued Date
Sep 6, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2903
Address
Nebraska
Category
Medicine
Issued Date
Dec 31, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2301
Address
Nebraska
Category
Medicine
Issued Date
Jun 2, 2008
Effective Date
Jan 20, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 941
Address
Nebraska
Category
Medicine
Issued Date
Oct 24, 1997
Effective Date
Sep 8, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 2058
Address
Nebraska
Category
Medicine
Issued Date
Jun 4, 2007
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 1819
Address
Nebraska
Category
Medicine
Issued Date
Apr 12, 1995
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1175
Address
Nebraska
Category
Medicine
Issued Date
Oct 16, 1989
Effective Date
Sep 8, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 637
Address
Nebraska
Category
Medicine
Issued Date
Feb 20, 1998
Effective Date
Aug 15, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 3692
Address
Nebraska
Category
Medicine
Issued Date
May 3, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 938
Address
Nebraska
Category
Medicine
Issued Date
Mar 31, 2000
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 4714
Address
Nebraska
Category
Medicine
Issued Date
Apr 15, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2320
Address
Nebraska
Category
Medicine
Issued Date
Jun 18, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor