Medical Practice Licenses in Nebraska

License number
Nebraska 6121
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Oct 6, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 6834
Address
Nebraska
Category
Medicine
Issued Date
Sep 15, 2012
Effective Date
May 22, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska MI-4301104224-B
Address
Nebraska
Category
Medicine
Issued Date
Dec 8, 2014
Effective Date
Dec 17, 2014
Expiration Date
Dec 14, 2014
Type
Physician Locum Tenens
License number
Nebraska MI-4301104224-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 10, 2014
Effective Date
Nov 17, 2014
Expiration Date
Nov 16, 2014
Type
Physician Locum Tenens
License number
Nebraska 5970
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 12, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska IN-01066120A-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 15, 2009
Effective Date
Sep 15, 2009
Expiration Date
Sep 15, 2009
Type
Physician Locum Tenens
License number
Nebraska 3446
Address
Nebraska
Category
Medicine
Issued Date
Oct 27, 1995
Effective Date
Oct 25, 1996
Type
Temporary Educational Permit
License number
Nebraska 4868
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
Jul 2, 2008
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 6303
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
May 7, 2014
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 3325
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Aug 23, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 1104
Address
Nebraska
Category
Medicine
Issued Date
Aug 15, 2001
Effective Date
Mar 31, 2003
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska 3316
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Oct 2, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3318
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Aug 21, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 148
Address
Nebraska
Category
Medicine
Issued Date
Mar 14, 1994
Effective Date
Aug 30, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 2074
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1987
Effective Date
Jul 1, 1990
Type
Temporary Educational Permit
License number
Nebraska ND-3132-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 1993
Effective Date
Nov 22, 2004
Expiration Date
Feb 15, 1993
Type
Physician Locum Tenens