Medical Practice Licenses in Nebraska

License number
Nebraska OH-54582-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 3, 1987
Effective Date
Nov 22, 2004
Expiration Date
Aug 28, 1987
Type
Physician Locum Tenens
License number
Nebraska 6645
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska IL-036.063005-A
Address
Nebraska
Category
Medicine
Issued Date
May 6, 2013
Effective Date
May 15, 2013
Expiration Date
May 15, 2013
Type
Physician Locum Tenens
License number
Nebraska 4559
Address
Nebraska
Category
Medicine
Issued Date
Nov 7, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3071
Address
Nebraska
Category
Medicine
Issued Date
May 4, 1999
Effective Date
Oct 20, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3072
Address
Nebraska
Category
Medicine
Issued Date
May 4, 1999
Effective Date
Oct 20, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3889
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3898
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 2000
Effective Date
Oct 12, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3893
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 2000
Effective Date
Dec 29, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4301
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 4576
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
May 15, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 6827
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 11, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 5633
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Nov 21, 2011
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 7608
Address
Nebraska
Category
Medicine
Issued Date
Jul 14, 2015
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska CO-22883-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 8, 1995
Effective Date
Nov 22, 2004
Expiration Date
Sep 19, 1995
Type
Physician Locum Tenens