Medical Practice Licenses in Nebraska

License number
Nebraska 3652
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Jul 2, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 4561
Address
Nebraska
Category
Medicine
Issued Date
Feb 4, 2002
Effective Date
Jul 16, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 898
Address
Nebraska
Category
Medicine
Issued Date
Jan 5, 2000
Effective Date
Dec 22, 2000
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 408
Address
Nebraska
Category
Medicine
Issued Date
Jun 5, 1996
Effective Date
Dec 31, 1999
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 893
Address
Nebraska
Category
Medicine
Issued Date
Jan 3, 2000
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 2046
Address
Nebraska
Category
Medicine
Issued Date
Dec 26, 1995
Effective Date
Dec 31, 1999
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 325
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Dec 1, 1993
Effective Date
Jan 1, 2017
Expiration Date
Dec 31, 2016
Type
Registered Environmental Health Spec
License number
Nebraska 2658
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 4698
Address
Nebraska
Category
Medicine
Issued Date
Mar 21, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska CA-G32722-B
Address
Nebraska
Category
Medicine
Issued Date
Feb 22, 2016
Effective Date
Mar 7, 2016
Expiration Date
May 22, 2016
Type
Physician Locum Tenens
License number
Nebraska KS-0428775-A
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2004
Effective Date
Mar 7, 2016
Expiration Date
Jun 30, 2004
Type
Physician Locum Tenens
License number
Nebraska 4410
Address
Nebraska
Category
Medicine
Issued Date
Aug 23, 2001
Effective Date
Jun 4, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3547
Address
Nebraska
Category
Medicine
Issued Date
Jan 27, 2000
Effective Date
Jun 4, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2901
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jul 11, 1995
Type
Temporary Educational Permit
License number
Nebraska 4650
Address
Nebraska
Category
Medicine
Issued Date
Jan 28, 2002
Effective Date
Jun 4, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2833
Address
Nebraska
Category
Medicine
Issued Date
Nov 18, 1998
Effective Date
Oct 11, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4499
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 2001
Effective Date
Jun 4, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3144
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
May 26, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 3120
Address
Nebraska
Category
Medicine
Issued Date
Jun 29, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor