Medical Practice Licenses in Nebraska

License number
Nebraska FL-ME112530-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 8, 2015
Effective Date
Nov 9, 2015
Expiration Date
Nov 27, 2015
Type
Physician Locum Tenens
License number
Nebraska 4679
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
May 15, 2006
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska 5200
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
Jul 1, 2006
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska 4254
Address
Nebraska
Category
Medicine
Issued Date
May 25, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4249
Address
Nebraska
Category
Medicine
Issued Date
May 25, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4269
Address
Nebraska
Category
Medicine
Issued Date
May 25, 2001
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4133
Address
Nebraska
Category
Medicine
Issued Date
Mar 8, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2447
Address
Nebraska
Category
Medicine
Issued Date
Feb 10, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 5484
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
May 22, 2008
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 2993
Address
Nebraska
Category
Medicine
Issued Date
Feb 8, 1999
Effective Date
Apr 19, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 1631
Address
Nebraska
Category
Medicine
Issued Date
Feb 3, 2005
Effective Date
Nov 14, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 2970
Address
Nebraska
Category
Medicine
Issued Date
Jan 29, 1999
Effective Date
Feb 1, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1239
Address
Nebraska
Category
Medicine
Issued Date
Jun 6, 1990
Effective Date
Oct 3, 1996
Type
Backup PA Supervisor
License number
Nebraska 1722
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 1993
Effective Date
Apr 30, 1996
Type
Backup PA Supervisor
License number
Nebraska 3506
Address
Nebraska
Category
Medicine
Issued Date
Jan 13, 2000
Effective Date
Sep 17, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1382
Address
Nebraska
Category
Medicine
Issued Date
Sep 13, 1991
Effective Date
Jan 6, 1994
Type
Backup PA Supervisor
License number
Nebraska 5053
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 1, 2005
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska 3538
Address
Nebraska
Category
Medicine
Issued Date
Jan 27, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3153
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Aug 31, 1995
Type
Temporary Educational Permit
License number
Nebraska 3841
Address
Nebraska
Category
Medicine
Issued Date
Sep 21, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor