Medical Practice Licenses in Nebraska

License number
Nebraska 769
Address
Nebraska
Category
Medicine
Issued Date
Jan 22, 1999
Effective Date
Nov 28, 2000
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 533
Address
Nebraska
Category
Medicine
Issued Date
Apr 24, 1997
Effective Date
Aug 4, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 668
Address
Nebraska
Category
Medicine
Issued Date
May 5, 1998
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3033
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Jul 1, 1994
Type
Temporary Educational Permit
License number
Nebraska 398
Address
Nebraska
Category
Medicine
Issued Date
Jul 21, 1997
Effective Date
Jun 15, 2002
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska CA-A26613-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 15, 2009
Effective Date
Jun 22, 2009
Expiration Date
Jun 21, 2009
Type
Physician Locum Tenens
License number
Nebraska 4728
Address
Nebraska
Category
Medicine
Issued Date
May 2, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4690
Address
Nebraska
Category
Medicine
Issued Date
Mar 7, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1916
Address
Nebraska
Category
Medicine
Issued Date
Feb 20, 1998
Effective Date
Jun 3, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2113
Address
Nebraska
Category
Medicine
Issued Date
Jan 19, 1996
Effective Date
Feb 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 534
Address
Nebraska
Category
Medicine
Issued Date
Feb 8, 1996
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 4123
Address
Nebraska
Category
Medicine
Issued Date
Feb 23, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5467
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 2, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 4568
Address
Nebraska
Category
Medicine
Issued Date
May 1, 2002
Effective Date
Aug 8, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska NY-197619-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 13, 1997
Effective Date
Nov 22, 2004
Expiration Date
Oct 31, 1997
Type
Physician Locum Tenens
License number
Nebraska 3206
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
May 20, 1997
Type
Temporary Educational Permit
License number
Nebraska 2292
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 1997
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2943
Address
Nebraska
Category
Medicine
Issued Date
Jan 22, 1999
Effective Date
Nov 28, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska MN-21762-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 6, 2010
Effective Date
Jul 9, 2010
Expiration Date
Jul 9, 2010
Type
Physician Locum Tenens
License number
Nebraska 4139
Address
Nebraska
Category
Medicine
Issued Date
Mar 23, 2001
Effective Date
Jan 3, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2803
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jul 1, 1993
Type
Temporary Educational Permit