Medical Practice Licenses in Nebraska

License number
Nebraska 4437
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3668
Address
Nebraska
Category
Medicine
Issued Date
Apr 18, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3667
Address
Nebraska
Category
Medicine
Issued Date
Apr 18, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2990
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Apr 4, 1995
Type
Temporary Educational Permit
License number
Nebraska 4772
Address
Nebraska
Category
Medicine
Issued Date
May 30, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1491
Address
Nebraska
Category
Medicine
Issued Date
Feb 2, 2004
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 781
Address
Nebraska
Category
Medicine
Issued Date
Jul 24, 1998
Effective Date
May 2, 1999
Expiration Date
May 1, 1999
Type
Temporary Physician Assistant