Medical Practice Licenses in Nebraska

License number
Nebraska 2409
Address
Nebraska
Category
Medicine
Issued Date
Nov 26, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4025
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3267
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Sep 1, 2001
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2961
Address
Nebraska
Category
Medicine
Issued Date
Jan 29, 1999
Effective Date
Aug 24, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 2676
Address
Nebraska
Category
Medicine
Issued Date
Jul 16, 1998
Effective Date
Aug 24, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska OH-52035-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 1, 1989
Effective Date
Nov 22, 2004
Expiration Date
Oct 21, 1989
Type
Physician Locum Tenens
License number
Nebraska 3392
Address
Nebraska
Category
Medicine
Issued Date
Nov 17, 1999
Effective Date
May 17, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska AZ-28100-A
Address
Nebraska
Category
Medicine
Issued Date
May 8, 2000
Effective Date
Nov 22, 2004
Expiration Date
May 12, 2000
Type
Physician Locum Tenens
License number
Nebraska AZ-28100-C
Address
Nebraska
Category
Medicine
Issued Date
Aug 14, 2000
Effective Date
Nov 22, 2004
Expiration Date
Aug 25, 2000
Type
Physician Locum Tenens
License number
Nebraska AZ-28100-B
Address
Nebraska
Category
Medicine
Issued Date
Jun 5, 2000
Effective Date
Nov 22, 2004
Expiration Date
Jun 16, 2000
Type
Physician Locum Tenens
License number
Nebraska LA-00-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 29, 1996
Effective Date
Nov 22, 2004
Expiration Date
Aug 3, 1996
Type
Physician Locum Tenens
License number
Nebraska 1977
Address
Nebraska
Category
Medicine
Issued Date
Jan 11, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska CA-A16090-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 9, 1994
Effective Date
Nov 22, 2004
Expiration Date
Apr 26, 1994
Type
Physician Locum Tenens
License number
Nebraska 5000
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 2, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 5065
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Aug 15, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 5444
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jun 18, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska GA-40428-A
Address
Nebraska
Category
Medicine
Issued Date
May 19, 2014
Effective Date
Oct 2, 2014
Expiration Date
Aug 8, 2014
Type
Physician Locum Tenens
License number
Nebraska 2423
Address
Nebraska
Category
Medicine
Issued Date
Feb 3, 1998
Effective Date
Feb 3, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 505
Address
715 N Kansas Ave, Hastings, NE 68901
Category
Medical Practice
Type
Specialist