Medical Practice Licenses in Nebraska

License number
Nebraska SD-4523-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 21, 2016
Effective Date
Jun 9, 2016
Expiration Date
Apr 12, 2016
Type
Physician Locum Tenens
License number
Nebraska 785
Address
Nebraska
Category
Medicine
Issued Date
Dec 21, 1998
Effective Date
Jan 11, 1999
Expiration Date
Dec 21, 1999
Type
Temporary Physician Assistant
License number
Nebraska 6021
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Nov 23, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 1200
Address
Nebraska
Category
Medicine
Issued Date
Feb 19, 1997
Effective Date
Aug 4, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1849
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 1996
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 2203
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 1996
Effective Date
Oct 2, 1997
Type
Backup PA Supervisor
License number
Nebraska 4510
Address
Nebraska
Category
Medicine
Issued Date
Oct 10, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5232
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
Jul 1, 2006
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska MI-4301043434-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 10, 2009
Effective Date
Mar 8, 2010
Expiration Date
Mar 8, 2010
Type
Physician Locum Tenens
License number
Nebraska 3176
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Oct 13, 1995
Type
Temporary Educational Permit
License number
Nebraska 4543
Address
Nebraska
Category
Medicine
Issued Date
Nov 1, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2315
Address
Nebraska
Category
Medicine
Issued Date
Jul 22, 1997
Effective Date
Aug 6, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1488
Address
Nebraska
Category
Medicine
Issued Date
Oct 12, 1991
Effective Date
Oct 2, 1994
Type
Backup PA Supervisor
License number
Nebraska 4544
Address
Nebraska
Category
Medicine
Issued Date
Nov 1, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1033
Address
Nebraska
Category
Medicine
Issued Date
Jul 15, 1987
Effective Date
Jan 3, 1996
Type
Backup PA Supervisor
License number
Nebraska CA-C41207-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 16, 2002
Effective Date
Oct 16, 2002
Expiration Date
Sep 20, 2002
Type
Physician Locum Tenens
License number
Nebraska 56
Address
Nebraska
Category
Medicine
Issued Date
Oct 30, 1985
Effective Date
Oct 2, 1992
Type
Osteopathic Physician & Surgeon
License number
Nebraska 2542
Address
Nebraska
Category
Medicine
Issued Date
Jul 2, 1990
Effective Date
Feb 16, 1993
Type
Temporary Educational Permit
License number
Nebraska 3331
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Nov 5, 1996
Type
Temporary Educational Permit