Medical Practice Licenses in Nebraska

License number
Nebraska 2156
Address
Nebraska
Category
Medicine
Issued Date
Oct 26, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 132
Address
Nebraska
Category
Medicine
Issued Date
Aug 7, 1992
Effective Date
Oct 3, 1995
Type
Physician Assistant Supervisor
License number
Nebraska 1269
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 2002
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 466
Address
Nebraska
Category
Medicine
Issued Date
Jan 6, 1995
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2402
Address
Nebraska
Category
Medicine
Issued Date
Nov 12, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3092
Address
Nebraska
Category
Medicine
Issued Date
Nov 12, 1998
Effective Date
Mar 1, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 2794
Address
Nebraska
Category
Medicine
Issued Date
Nov 3, 1998
Effective Date
Sep 1, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 1078
Address
Nebraska
Category
Medicine
Issued Date
Jul 16, 1996
Effective Date
Jul 1, 1997
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 3104
Address
Nebraska
Category
Medicine
Issued Date
Jun 10, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 161
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Jan 1, 1971
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska CO-37443-B
Address
Nebraska
Category
Medicine
Issued Date
Mar 13, 2012
Effective Date
Apr 5, 2012
Expiration Date
Mar 17, 2012
Type
Physician Locum Tenens
License number
Nebraska CO-37443-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 16, 2012
Effective Date
Apr 5, 2012
Expiration Date
Mar 9, 2012
Type
Physician Locum Tenens
License number
Nebraska 909
Address
Nebraska
Category
Medicine
Issued Date
Apr 5, 2012
Effective Date
Oct 3, 2014
Expiration Date
Oct 1, 2014
Type
Osteopathic Physician & Surgeon
License number
Nebraska 1694
Address
Nebraska
Category
Medicine
Issued Date
Jul 18, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 6525
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 12, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 5368
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 22, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 1619
Address
Nebraska
Category
Medicine
Issued Date
Jan 25, 2005
Effective Date
Jun 23, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 2095
Address
Nebraska
Category
Medicine
Issued Date
Aug 1, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4635
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Jul 1, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit