Medical Practice Licenses in Nebraska

License number
Nebraska 220
Address
Nebraska
Category
Medicine
Issued Date
Mar 16, 1995
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2305
Address
Nebraska
Category
Medicine
Issued Date
Apr 18, 1997
Effective Date
Oct 20, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1539
Address
Nebraska
Category
Medicine
Issued Date
Nov 16, 1995
Effective Date
Nov 28, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 2125
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 1996
Effective Date
Sep 5, 1997
Type
Backup PA Supervisor
License number
Nebraska 3956
Address
Nebraska
Category
Medicine
Issued Date
Dec 1, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5654
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 2, 2008
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 431
Address
Nebraska
Category
Medicine
Issued Date
Jul 13, 2005
Effective Date
Oct 2, 2012
Expiration Date
Oct 1, 2012
Type
Osteopathic Physician & Surgeon
License number
Nebraska 5102
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 13, 2005
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska 792
Address
Nebraska
Category
Medicine
Issued Date
Mar 19, 1999
Effective Date
Feb 29, 2004
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1505
Address
Nebraska
Category
Medicine
Issued Date
Mar 8, 2004
Effective Date
Sep 13, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 1817
Address
Nebraska
Category
Medicine
Issued Date
Jan 19, 2006
Effective Date
Sep 13, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 2923
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska AZ-16018-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 5, 2006
Effective Date
Nov 30, 2006
Expiration Date
Dec 3, 2006
Type
Physician Locum Tenens
License number
Nebraska 5449
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Jul 2, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska CO-32288-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 22, 1993
Effective Date
Nov 22, 2004
Expiration Date
Feb 26, 1993
Type
Physician Locum Tenens
License number
Nebraska 3870
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Jul 2, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 4575
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska NC-200301005-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 23, 2015
Effective Date
Mar 23, 2015
Expiration Date
Mar 30, 2015
Type
Physician Locum Tenens
License number
Nebraska ID-01051497A-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 7, 2011
Effective Date
Mar 10, 2011
Expiration Date
Mar 10, 2011
Type
Physician Locum Tenens
License number
Nebraska 1182
Address
Nebraska
Category
Medicine
Issued Date
Sep 20, 1994
Effective Date
Oct 2, 1995
Type
Backup PA Supervisor