Medical Practice Licenses in Nebraska

License number
Nebraska 2357
Address
Nebraska
Category
Medicine
Issued Date
Aug 15, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 5894
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Jul 2, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 3563
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1996
Effective Date
Jul 2, 1997
Type
Temporary Educational Permit
License number
Nebraska 1097
Address
Nebraska
Category
Medicine
Issued Date
Aug 30, 2013
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 4562
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Jul 2, 2004
Expiration Date
Jul 1, 2004
Type
Temporary Educational Permit
License number
Nebraska AZ-9067-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 2006
Effective Date
Nov 3, 2006
Expiration Date
Nov 3, 2006
Type
Physician Locum Tenens
License number
Nebraska 1774
Address
Nebraska
Category
Medicine
Issued Date
Sep 15, 1994
Effective Date
Oct 2, 1995
Type
Backup PA Supervisor
License number
Nebraska 4178
Address
Nebraska
Category
Medicine
Issued Date
Feb 4, 2000
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 4681
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Jan 3, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 3985
Address
Nebraska
Category
Medicine
Issued Date
Dec 20, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1799
Address
Nebraska
Category
Medicine
Issued Date
Dec 30, 1997
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 621
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 1998
Effective Date
Oct 13, 2000
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 3429
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1957
Address
Nebraska
Category
Medicine
Issued Date
Mar 12, 1996
Effective Date
Jan 1, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 4431
Address
Nebraska
Category
Medicine
Issued Date
Aug 27, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4026
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 472
Address
Nebraska
Category
Medicine
Issued Date
Dec 5, 1997
Effective Date
Dec 31, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 5662
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jun 17, 2009
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 1335
Address
Nebraska
Category
Medicine
Issued Date
Oct 5, 1994
Effective Date
Sep 28, 1995
Type
Backup PA Supervisor