Medical Practice Licenses in Nebraska

License number
Nebraska 1680
Address
Nebraska
Category
Medicine
Issued Date
Jun 6, 2005
Effective Date
Aug 8, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 4474
Address
Nebraska
Category
Medicine
Issued Date
Oct 3, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1750
Address
Nebraska
Category
Medicine
Issued Date
Oct 13, 2005
Effective Date
Oct 10, 2005
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 1681
Address
Nebraska
Category
Medicine
Issued Date
Nov 27, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1751
Address
Nebraska
Category
Medicine
Issued Date
Oct 13, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1886
Address
Nebraska
Category
Medicine
Issued Date
Jun 15, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1511
Address
Nebraska
Category
Medicine
Issued Date
Mar 29, 2004
Effective Date
Sep 30, 2004
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 2565
Address
Nebraska
Category
Medicine
Issued Date
May 7, 1998
Effective Date
Aug 4, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1349
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 2003
Effective Date
Sep 30, 2004
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 2721
Address
Nebraska
Category
Medicine
Issued Date
Sep 3, 1998
Effective Date
Apr 23, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4167
Address
Nebraska
Category
Medicine
Issued Date
May 3, 2001
Effective Date
Apr 23, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1693
Address
Nebraska
Category
Medicine
Issued Date
Jul 13, 2005
Effective Date
Aug 8, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 1679
Address
Nebraska
Category
Medicine
Issued Date
Jun 6, 2005
Effective Date
Jul 20, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 4363
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 2001
Effective Date
Nov 5, 2001
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1237
Address
Nebraska
Category
Medicine
Issued Date
Aug 7, 2002
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 908
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 2000
Effective Date
May 15, 2002
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska 2867
Address
Nebraska
Category
Medicine
Issued Date
Sep 18, 1998
Effective Date
Jun 1, 1999
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2699
Address
Nebraska
Category
Medicine
Issued Date
Aug 5, 1998
Effective Date
Oct 1, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 4472
Address
Nebraska
Category
Medicine
Issued Date
Oct 3, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2801
Address
Nebraska
Category
Medicine
Issued Date
Nov 3, 1998
Effective Date
Mar 24, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 2346
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1989
Effective Date
Jun 19, 1995
Type
Temporary Educational Permit
License number
Nebraska 586
Address
Nebraska
Category
Medicine
Issued Date
Mar 7, 2008
Effective Date
Oct 12, 2010
Expiration Date
Oct 1, 2010
Type
Osteopathic Physician & Surgeon
License number
Nebraska OH-004364-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 18, 2008
Effective Date
Mar 7, 2008
Expiration Date
Feb 29, 2008
Type
Physician Locum Tenens
License number
Nebraska 3253
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Jun 18, 1999
Type
Temporary Educational Permit
License number
Nebraska NY-111029-B
Address
Nebraska
Category
Medicine
Issued Date
Oct 1, 2004
Effective Date
Oct 8, 2004
Expiration Date
Oct 8, 2004
Type
Physician Locum Tenens
License number
Nebraska NY-111029-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 12, 2004
Effective Date
Jul 16, 2004
Expiration Date
Jul 16, 2004
Type
Physician Locum Tenens
License number
Nebraska 1215
Address
2222 S 16Th St SUITE 405, Lincoln, NE 68502
Category
Nursing
Type
Medical