Medical Practice Licenses in Nebraska

License number
Nebraska 3612
Address
Nebraska
Category
Medicine
Issued Date
Feb 29, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 167
Address
Nebraska
Category
Medicine
Issued Date
Feb 10, 1986
Effective Date
Oct 2, 1991
Type
Physician Assistant Supervisor
License number
Nebraska 678
Address
Nebraska
Category
Medicine
Issued Date
Jun 5, 1998
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 886
Address
Nebraska
Category
Medicine
Issued Date
Nov 4, 1993
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 6195
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
May 14, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 7098
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 1405
Address
Nebraska
Category
Medicine
Issued Date
Nov 14, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 419
Address
Nebraska
Category
Medicine
Issued Date
Nov 19, 1996
Effective Date
Dec 4, 1998
Expiration Date
Oct 1, 1999
Type
Physician Assistant Supervisor
License number
Nebraska 3711
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Jul 26, 2004
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 853
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3632
Address
Nebraska
Category
Medicine
Issued Date
Mar 30, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3633
Address
Nebraska
Category
Medicine
Issued Date
Mar 30, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3631
Address
Nebraska
Category
Medicine
Issued Date
Mar 30, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3492
Address
Nebraska
Category
Medicine
Issued Date
Jun 20, 1996
Effective Date
Apr 29, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 503
Address
Nebraska
Category
Medicine
Issued Date
Oct 19, 1995
Effective Date
Aug 23, 2010
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 422
Address
Nebraska
Category
Medicine
Issued Date
Mar 3, 1994
Effective Date
Aug 23, 2010
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 864
Address
Nebraska
Category
Medicine
Issued Date
Jul 12, 2001
Effective Date
Jan 15, 2002
Expiration Date
Jul 12, 2002
Type
Temporary Physician Assistant
License number
Nebraska 2557
Address
Nebraska
Category
Medicine
Issued Date
Aug 26, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2214
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1988
Effective Date
Dec 14, 1990
Type
Temporary Educational Permit
License number
Nebraska 619
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 1998
Effective Date
Feb 25, 2000
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 3493
Address
Nebraska
Category
Medicine
Issued Date
Jun 20, 1996
Effective Date
Jul 18, 1997
Type
Temporary Educational Permit