Medical Practice Licenses in Nebraska

License number
Nebraska 3108
Address
Nebraska
Category
Medicine
Issued Date
Mar 23, 1994
Effective Date
Jul 1, 1994
Type
Temporary Educational Permit
License number
Nebraska 3280
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 1995
Effective Date
Mar 1, 1995
Type
Temporary Educational Permit
License number
Nebraska 4808
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
Jul 18, 2006
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 5602
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jan 5, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska KY-31706-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 28, 1998
Effective Date
Nov 22, 2004
Expiration Date
Mar 8, 1998
Type
Physician Locum Tenens
License number
Nebraska OK-16477-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 3, 1989
Effective Date
Nov 22, 2004
Expiration Date
Sep 3, 1989
Type
Physician Locum Tenens
License number
Nebraska 750
Address
Nebraska
Category
Medicine
Issued Date
Jul 7, 2010
Effective Date
Oct 2, 2012
Expiration Date
Oct 1, 2012
Type
Osteopathic Physician & Surgeon
License number
Nebraska 6070
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 7, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 2498
Address
Nebraska
Category
Medicine
Issued Date
Apr 28, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4390
Address
Nebraska
Category
Medicine
Issued Date
May 30, 2001
Effective Date
Dec 4, 2002
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 4563
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 4553
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 764
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 1995
Effective Date
Jul 15, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 4548
Address
Nebraska
Category
Medicine
Issued Date
Nov 6, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1418
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 2003
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska IN-02003272-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 14, 2008
Effective Date
Jun 23, 2008
Expiration Date
Jun 22, 2008
Type
Physician Locum Tenens
License number
Nebraska 4391
Address
Nebraska
Category
Medicine
Issued Date
May 30, 2001
Effective Date
Dec 5, 2002
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 217
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Nov 21, 1975
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 103
Address
Nebraska
Category
Medicine
Issued Date
Oct 15, 1990
Effective Date
Oct 2, 1992
Type
Osteopathic Physician & Surgeon
License number
Nebraska 5461
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
May 19, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit