Medical Practice Licenses in Nebraska

License number
Nebraska 2233
Address
Nebraska
Category
Medicine
Issued Date
Jan 10, 1997
Effective Date
Aug 6, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2057
Address
Nebraska
Category
Medicine
Issued Date
Dec 29, 1995
Effective Date
Apr 6, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 2735
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Mar 7, 1994
Type
Temporary Educational Permit
License number
Nebraska 5514
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 2, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska GA-66515-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 7, 2011
Effective Date
Dec 9, 2011
Expiration Date
Dec 9, 2011
Type
Physician Locum Tenens
License number
Nebraska 3837
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
May 20, 2004
Expiration Date
Jul 1, 2004
Type
Temporary Educational Permit
License number
Nebraska 1780
Address
Nebraska
Category
Medicine
Issued Date
Dec 5, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 5898
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit