Medical Practice Licenses in Nebraska

License number
Nebraska 4396
Address
Nebraska
Category
Medicine
Issued Date
Aug 22, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2603
Address
Nebraska
Category
Medicine
Issued Date
Jun 16, 1998
Effective Date
Sep 8, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1240
Address
Nebraska
Category
Medicine
Issued Date
Aug 26, 2002
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 4715
Address
Nebraska
Category
Medicine
Issued Date
Apr 15, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3655
Address
Nebraska
Category
Medicine
Issued Date
Mar 31, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2955
Address
Nebraska
Category
Medicine
Issued Date
Jan 29, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1436
Address
Nebraska
Category
Medicine
Issued Date
Nov 10, 2003
Effective Date
Feb 17, 2004
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 2605
Address
Nebraska
Category
Medicine
Issued Date
Jun 16, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3691
Address
Nebraska
Category
Medicine
Issued Date
May 3, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2186
Address
Nebraska
Category
Medicine
Issued Date
Jan 7, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1485
Address
Nebraska
Category
Medicine
Issued Date
Jan 29, 2004
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 5861
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Nov 17, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 156
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Dec 1, 1969
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 6575
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Sep 3, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 609
Address
Nebraska
Category
Medicine
Issued Date
Jul 8, 2008
Effective Date
Oct 3, 2014
Expiration Date
Oct 1, 2014
Type
Osteopathic Physician & Surgeon
License number
Nebraska 1868
Address
Nebraska
Category
Medicine
Issued Date
May 10, 2006
Effective Date
Apr 24, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 1961
Address
Nebraska
Category
Medicine
Issued Date
Nov 21, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 536
Address
Nebraska
Category
Medicine
Issued Date
Feb 15, 1996
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 6008
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Apr 25, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 5814
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Apr 25, 2013
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 6188
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 2668
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 1, 1992
Type
Temporary Educational Permit
License number
Nebraska FL-ME64692-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 29, 2004
Effective Date
Apr 9, 2004
Expiration Date
Apr 9, 2004
Type
Physician Locum Tenens
License number
Nebraska CA-G44032-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 17, 1996
Effective Date
Nov 22, 2004
Expiration Date
Nov 27, 1996
Type
Physician Locum Tenens
License number
Nebraska 3402
Address
Nebraska
Category
Medicine
Issued Date
Dec 1, 1999
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3086
Address
Nebraska
Category
Medicine
Issued Date
May 6, 1999
Effective Date
Sep 10, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 1686
Address
Nebraska
Category
Medicine
Issued Date
Jun 15, 2005
Effective Date
Aug 19, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 3327
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Aug 15, 1996
Type
Temporary Educational Permit
License number
Nebraska 3036
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Jun 19, 1995
Type
Temporary Educational Permit