Medical Practice Licenses in Nebraska

License number
Nebraska 1697
Address
Nebraska
Category
Medicine
Issued Date
Jan 25, 1996
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 358
Address
Nebraska
Category
Medicine
Issued Date
Sep 17, 1992
Effective Date
Nov 23, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 548
Address
Nebraska
Category
Medicine
Issued Date
May 8, 1997
Effective Date
Dec 12, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 480
Address
Nebraska
Category
Medicine
Issued Date
Mar 16, 1995
Effective Date
Dec 12, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 7492
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2015
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska WI-35399-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 5, 1995
Effective Date
Nov 22, 2004
Expiration Date
Aug 18, 1995
Type
Physician Locum Tenens
License number
Nebraska 3391
Address
Nebraska
Category
Medicine
Issued Date
Nov 15, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5657
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 2, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska ID-M-10882-B
Address
Nebraska
Category
Medicine
Issued Date
Apr 22, 2010
Effective Date
Aug 24, 2010
Expiration Date
Jun 15, 2010
Type
Physician Locum Tenens
License number
Nebraska ID-M-10882-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 9, 2010
Effective Date
Aug 24, 2010
Expiration Date
Apr 19, 2010
Type
Physician Locum Tenens
License number
Nebraska ID-M-10882-C
Address
Nebraska
Category
Medicine
Issued Date
Jun 16, 2010
Effective Date
Aug 24, 2010
Expiration Date
Jun 21, 2010
Type
Physician Locum Tenens
License number
Nebraska 6696
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Feb 21, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 3379
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
May 27, 1997
Type
Temporary Educational Permit
License number
Nebraska 1422
Address
Nebraska
Category
Medicine
Issued Date
Oct 17, 2003
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2751
Address
Nebraska
Category
Medicine
Issued Date
Oct 22, 1998
Effective Date
Jan 3, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2752
Address
Nebraska
Category
Medicine
Issued Date
Oct 22, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3326
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Jul 15, 1996
Type
Temporary Educational Permit
License number
Nebraska ID-M-7386-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 16, 2009
Effective Date
Oct 27, 2009
Expiration Date
Dec 14, 2009
Type
Physician Locum Tenens
License number
Nebraska 5843
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Oct 6, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 2805
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jul 1, 1994
Type
Temporary Educational Permit