Medical Practice Licenses in Nebraska

License number
Nebraska 5419
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 6120
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 2, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 6214
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jun 15, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 2323
Address
Nebraska
Category
Medicine
Issued Date
Jun 23, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4116
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
Oct 1, 2000
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 3443
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 1995
Effective Date
Nov 25, 1996
Type
Temporary Educational Permit
License number
Nebraska 205
Address
Nebraska
Category
Medicine
Issued Date
May 15, 1996
Effective Date
Oct 2, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 1358
Address
Nebraska
Category
Medicine
Issued Date
Mar 29, 1995
Effective Date
May 15, 1996
Type
Backup PA Supervisor
License number
Nebraska 6998
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 12, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 4677
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Jul 13, 2004
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 4358
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3461
Address
Nebraska
Category
Medicine
Issued Date
May 7, 1996
Effective Date
Dec 1, 1997
Type
Temporary Educational Permit
License number
Nebraska 4778
Address
Nebraska
Category
Medicine
Issued Date
Jun 6, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2303
Address
Nebraska
Category
Medicine
Issued Date
Jun 2, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 6318
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Sep 2, 2011
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 880
Address
Nebraska
Category
Medicine
Issued Date
Jan 7, 2002
Effective Date
Jan 14, 2002
Expiration Date
Jan 7, 2003
Type
Temporary Physician Assistant
License number
Nebraska 1024
Address
Nebraska
Category
Medicine
Issued Date
Jan 23, 2008
Effective Date
Feb 4, 2008
Expiration Date
Jan 23, 2009
Type
Temporary Physician Assistant
License number
Nebraska 3377
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Aug 11, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska IN-01066796A-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 4, 2011
Effective Date
Apr 29, 2011
Expiration Date
Apr 29, 2011
Type
Physician Locum Tenens
License number
Nebraska DC-14621-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 25, 2008
Effective Date
Sep 26, 2008
Expiration Date
Sep 26, 2008
Type
Physician Locum Tenens
License number
Nebraska 6616
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 186
Address
1313 Harlan Dr., Bellevue, NE 68005
Category
Medical Practice
Type
Foot Surgery