Medical Practice Licenses in Nebraska

License number
Nebraska SD-3429-H
Address
Nebraska
Category
Medicine
Issued Date
May 8, 1998
Effective Date
Nov 22, 2004
Expiration Date
May 11, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-S
Address
Nebraska
Category
Medicine
Issued Date
Jul 24, 1998
Effective Date
Nov 22, 2004
Expiration Date
Jul 27, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 9, 1991
Effective Date
Nov 22, 2004
Expiration Date
Nov 10, 1991
Type
Physician Locum Tenens
License number
Nebraska SD-3429-R
Address
Nebraska
Category
Medicine
Issued Date
Jul 17, 1998
Effective Date
Nov 22, 2004
Expiration Date
Jul 20, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-Q
Address
Nebraska
Category
Medicine
Issued Date
Jul 10, 1998
Effective Date
Nov 22, 2004
Expiration Date
Jul 13, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-P
Address
Nebraska
Category
Medicine
Issued Date
Jul 3, 1998
Effective Date
Nov 22, 2004
Expiration Date
Jul 6, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-M
Address
Nebraska
Category
Medicine
Issued Date
Jun 12, 1998
Effective Date
Nov 22, 2004
Expiration Date
Jun 15, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-L
Address
Nebraska
Category
Medicine
Issued Date
Jun 5, 1998
Effective Date
Nov 22, 2004
Expiration Date
Jun 8, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-J
Address
Nebraska
Category
Medicine
Issued Date
May 22, 1998
Effective Date
Nov 22, 2004
Expiration Date
May 25, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-I
Address
Nebraska
Category
Medicine
Issued Date
May 15, 1998
Effective Date
Nov 22, 2004
Expiration Date
May 18, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-G
Address
Nebraska
Category
Medicine
Issued Date
May 1, 1998
Effective Date
Nov 22, 2004
Expiration Date
May 4, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-F
Address
Nebraska
Category
Medicine
Issued Date
Apr 24, 1998
Effective Date
Nov 22, 2004
Expiration Date
Apr 27, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-E
Address
Nebraska
Category
Medicine
Issued Date
Apr 17, 1998
Effective Date
Nov 22, 2004
Expiration Date
Apr 20, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-D
Address
Nebraska
Category
Medicine
Issued Date
Apr 10, 1998
Effective Date
Nov 22, 2004
Expiration Date
Apr 13, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-C
Address
Nebraska
Category
Medicine
Issued Date
Apr 2, 1998
Effective Date
Nov 22, 2004
Expiration Date
Apr 6, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-B
Address
Nebraska
Category
Medicine
Issued Date
Mar 27, 1998
Effective Date
Nov 22, 2004
Expiration Date
Mar 30, 1998
Type
Physician Locum Tenens
License number
Nebraska SD-3429-T
Address
Nebraska
Category
Medicine
Issued Date
May 28, 2004
Effective Date
Jun 1, 2004
Expiration Date
Jun 1, 2004
Type
Physician Locum Tenens
License number
Nebraska 5207
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
Jul 1, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska GA-35672-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 23, 2015
Effective Date
Jun 19, 2015
Expiration Date
Aug 14, 2015
Type
Physician Locum Tenens
License number
Nebraska 3568
Address
Nebraska
Category
Medicine
Issued Date
Feb 8, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1439
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 2003
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2370
Address
Nebraska
Category
Medicine
Issued Date
Dec 29, 1997
Effective Date
Jan 15, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 3374
Address
Nebraska
Category
Medicine
Issued Date
Nov 1, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2939
Address
Nebraska
Category
Medicine
Issued Date
Jan 25, 1999
Effective Date
Sep 22, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 2991
Address
Nebraska
Category
Medicine
Issued Date
Feb 8, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 726
Address
Nebraska
Category
Medicine
Issued Date
Nov 10, 1998
Effective Date
Apr 29, 2003
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska 3208
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Jan 3, 1996
Type
Temporary Educational Permit
License number
Nebraska KS-4-14723-F
Address
Nebraska
Category
Medicine
Issued Date
Jan 12, 1993
Effective Date
Nov 22, 2004
Expiration Date
Feb 1, 1993
Type
Physician Locum Tenens
License number
Nebraska KS-4-14723-E
Address
Nebraska
Category
Medicine
Issued Date
Jun 17, 1991
Effective Date
Nov 22, 2004
Expiration Date
Jun 20, 1991
Type
Physician Locum Tenens
License number
Nebraska KS-4-14723-D
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 1991
Effective Date
Nov 22, 2004
Expiration Date
Jun 13, 1991
Type
Physician Locum Tenens
License number
Nebraska KS-4-14723-B
Address
Nebraska
Category
Medicine
Issued Date
Jan 10, 1991
Effective Date
Nov 22, 2004
Expiration Date
Jan 31, 1991
Type
Physician Locum Tenens
License number
Nebraska KS-4-14723-A
Address
Nebraska
Category
Medicine
Issued Date
May 1, 1990
Effective Date
Nov 22, 2004
Expiration Date
May 11, 1990
Type
Physician Locum Tenens