Medical Practice Licenses in Nebraska

License number
Nebraska 3177
Address
Nebraska
Category
Medicine
Issued Date
Aug 30, 1999
Effective Date
Jun 5, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska CO-39467-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 18, 2010
Effective Date
Nov 2, 2010
Expiration Date
Jan 15, 2011
Type
Physician Locum Tenens
License number
Nebraska 91
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Oct 21, 1964
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 6437
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Apr 5, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 6320
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Apr 5, 2012
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 1954
Address
Nebraska
Category
Medicine
Issued Date
Nov 8, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 333
Address
Nebraska
Category
Medicine
Issued Date
Aug 5, 2002
Effective Date
Oct 2, 2012
Expiration Date
Oct 1, 2012
Type
Osteopathic Physician & Surgeon
License number
Nebraska 5291
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
May 25, 2007
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 5054
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 1, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 5472
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 15, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 319
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Jan 1, 1991
Effective Date
Dec 1, 2008
Expiration Date
Jan 1, 2005
Type
Registered Environmental Health Spec
License number
Nebraska 1639
Address
Nebraska
Category
Medicine
Issued Date
Feb 14, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4531
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2001
Effective Date
Mar 16, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 219
Address
Nebraska
Category
Medicine
Issued Date
Sep 17, 1997
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 2712
Address
Nebraska
Category
Medicine
Issued Date
Aug 25, 1998
Effective Date
Oct 20, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 604
Address
Nebraska
Category
Medicine
Issued Date
Jun 24, 2008
Effective Date
Oct 2, 2012
Expiration Date
Oct 1, 2012
Type
Osteopathic Physician & Surgeon
License number
Nebraska FL-ME89151-B
Address
Nebraska
Category
Medicine
Issued Date
Jun 13, 2016
Effective Date
Jul 8, 2016
Expiration Date
Jul 8, 2016
Type
Physician Locum Tenens
License number
Nebraska FL-ME89151-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 11, 2016
Effective Date
May 2, 2016
Expiration Date
May 2, 2016
Type
Physician Locum Tenens
License number
Nebraska 7415
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 2666
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Oct 1, 1992
Type
Temporary Educational Permit