Medical Practice Licenses in Nebraska

License number
Nebraska 1610
Address
Nebraska
Category
Medicine
Issued Date
Sep 15, 1993
Effective Date
Sep 5, 1997
Type
Backup PA Supervisor
License number
Nebraska 3444
Address
Nebraska
Category
Medicine
Issued Date
Oct 27, 1995
Effective Date
Jul 2, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 2109
Address
Nebraska
Category
Medicine
Issued Date
Aug 23, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4002
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 1999
Effective Date
May 21, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 5944
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Apr 1, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 5622
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 2, 2008
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 5617
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 7, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 6631
Address
Nebraska
Category
Medicine
Issued Date
Oct 3, 2011
Effective Date
Nov 7, 2011
Expiration Date
Oct 28, 2011
Type
Temporary Educational Permit
License number
Nebraska 6345
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 121
Address
Nebraska
Category
Medicine
Issued Date
Jun 27, 1991
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 1066
Address
Nebraska
Category
Medicine
Issued Date
Jul 17, 2013
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 7119
Address
Nebraska
Category
Medicine
Issued Date
Jul 9, 2013
Effective Date
Aug 31, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska SD-2176-B
Address
Nebraska
Category
Medicine
Issued Date
May 11, 2009
Effective Date
Jul 10, 1992
Expiration Date
Aug 8, 2009
Type
Physician Locum Tenens
License number
Nebraska OH-2227-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 15, 1999
Effective Date
Jul 10, 1992
Expiration Date
Jun 12, 1999
Type
Physician Locum Tenens
License number
Nebraska 126
Address
Nebraska
Category
Medicine
Issued Date
Jul 10, 1992
Effective Date
Oct 12, 2010
Expiration Date
Oct 1, 2010
Type
Osteopathic Physician & Surgeon
License number
Nebraska TN-1868-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1985
Effective Date
Nov 22, 2004
Expiration Date
Nov 4, 1985
Type
Physician Locum Tenens
License number
Nebraska 4523
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2001
Effective Date
Feb 9, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 3835
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Aug 4, 1999
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 6963
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Oct 6, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 1810
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1985
Effective Date
Aug 14, 1989
Type
Temporary Educational Permit