Medical Practice Licenses in Nebraska

License number
Nebraska 5369
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Apr 22, 2008
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 1963
Address
Nebraska
Category
Medicine
Issued Date
Nov 22, 2006
Effective Date
Oct 10, 2008
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska WA-16682-B
Address
Nebraska
Category
Medicine
Issued Date
Nov 12, 2002
Effective Date
Nov 18, 2002
Expiration Date
Nov 15, 2002
Type
Physician Locum Tenens
License number
Nebraska WA-16682-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 30, 2002
Effective Date
Oct 16, 2002
Expiration Date
Oct 4, 2002
Type
Physician Locum Tenens
License number
Nebraska TN-MD46459-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 5, 2012
Effective Date
Apr 17, 2012
Expiration Date
Jun 2, 2012
Type
Physician Locum Tenens
License number
Nebraska 2836
Address
Nebraska
Category
Medicine
Issued Date
Nov 18, 1998
Effective Date
Oct 20, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1083
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 2016
Effective Date
Jan 19, 2016
Expiration Date
Jan 4, 2017
Type
Temporary Physician Assistant
License number
Nebraska 6004
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Nov 8, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 4199
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2000
Effective Date
Jul 2, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 3465
Address
Nebraska
Category
Medicine
Issued Date
Jan 4, 2000
Effective Date
Nov 14, 2001
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 353
Address
Nebraska
Category
Medicine
Issued Date
Feb 19, 1997
Effective Date
Nov 23, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 504
Address
Nebraska
Category
Medicine
Issued Date
Mar 29, 1996
Effective Date
May 1, 1996
Type
Physician Assistant Supervisor
License number
Nebraska 3244
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Oct 19, 1994
Type
Temporary Educational Permit
License number
Nebraska 100
Address
Nebraska
Category
Medicine
Issued Date
Dec 12, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 3611
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 677
Address
Nebraska
Category
Medicine
Issued Date
May 20, 1998
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska 2002
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2510
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 1998
Effective Date
Nov 30, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 2507
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3440
Address
Nebraska
Category
Medicine
Issued Date
Jul 14, 1995
Effective Date
Jul 26, 2004
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit