Medical Practice Licenses in Nebraska

License number
Nebraska 2162
Address
Nebraska
Category
Medicine
Issued Date
Nov 3, 1997
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3258
Address
Nebraska
Category
Medicine
Issued Date
Jul 5, 1994
Effective Date
Feb 10, 1995
Type
Temporary Educational Permit
License number
Nebraska CA-87177-B
Address
Nebraska
Category
Medicine
Issued Date
Jul 2, 2007
Effective Date
Jul 6, 2007
Expiration Date
Jul 6, 2007
Type
Physician Locum Tenens
License number
Nebraska CA-87177-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 12, 2006
Effective Date
Jul 22, 2006
Expiration Date
Jul 22, 2006
Type
Physician Locum Tenens
License number
Nebraska 2404
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1989
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 4479
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2001
Effective Date
Jul 18, 2002
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 3908
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1998
Effective Date
Aug 17, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 6009
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jun 19, 2012
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 4264
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2000
Effective Date
Feb 5, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 2875
Address
Nebraska
Category
Medicine
Issued Date
Dec 21, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4496
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4493
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska PA-MD447345-A
Address
Nebraska
Category
Medicine
Issued Date
May 23, 2013
Effective Date
Jul 1, 2013
Expiration Date
Jul 1, 2013
Type
Physician Locum Tenens
License number
Nebraska AZ-48067-E
Address
Nebraska
Category
Medicine
Issued Date
Dec 9, 2013
Effective Date
Dec 16, 2013
Expiration Date
Dec 15, 2013
Type
Physician Locum Tenens
License number
Nebraska PA-MD447345-D
Address
Nebraska
Category
Medicine
Issued Date
Nov 11, 2013
Effective Date
Nov 18, 2013
Expiration Date
Nov 18, 2013
Type
Physician Locum Tenens
License number
Nebraska PA-MD447345-C
Address
Nebraska
Category
Medicine
Issued Date
Oct 24, 2013
Effective Date
Nov 1, 2013
Expiration Date
Oct 31, 2013
Type
Physician Locum Tenens
License number
Nebraska TX-9129-B
Address
Nebraska
Category
Medicine
Issued Date
Mar 14, 2005
Effective Date
Mar 18, 2005
Expiration Date
Mar 18, 2005
Type
Physician Locum Tenens