Medical Practice Licenses in Nebraska

License number
Nebraska ME-16004-B
Address
Nebraska
Category
Medicine
Issued Date
Mar 5, 2007
Effective Date
Mar 9, 2007
Expiration Date
Mar 9, 2007
Type
Physician Locum Tenens
License number
Nebraska ME-16004-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 22, 2007
Effective Date
Jan 29, 2007
Expiration Date
Jan 28, 2007
Type
Physician Locum Tenens
License number
Nebraska 5507
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 7051
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Aug 28, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska DE-C1-0007352-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 6, 2010
Effective Date
Jun 1, 2010
Expiration Date
Jul 2, 2010
Type
Physician Locum Tenens
License number
Nebraska 2281
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1988
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 2534
Address
Nebraska
Category
Medicine
Issued Date
Aug 3, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska NY-259119-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 6, 2011
Effective Date
Jul 11, 2011
Expiration Date
Jul 10, 2011
Type
Physician Locum Tenens
License number
Nebraska 2264
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1988
Effective Date
Jun 21, 1991
Type
Temporary Educational Permit
License number
Nebraska 2405
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1989
Effective Date
Jul 1, 1991
Type
Temporary Educational Permit
License number
Nebraska 4088
Address
Nebraska
Category
Medicine
Issued Date
Jan 23, 2001
Effective Date
Feb 1, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska FL-ME68540-A
Address
Nebraska
Category
Medicine
Issued Date
Dec 6, 2016
Effective Date
Jan 24, 2017
Expiration Date
Mar 3, 2017
Type
Physician Locum Tenens
License number
Nebraska 2006
Address
Nebraska
Category
Medicine
Issued Date
Jul 18, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska NJ-22426-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 15, 1990
Effective Date
Nov 22, 2004
Expiration Date
Jul 31, 1990
Type
Physician Locum Tenens
License number
Nebraska 3790
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 1997
Effective Date
May 21, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 6824
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 2, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number 2
Nebraska 135
Address
620 Diers Ave, Grand Island, NE 68802
Category
Medical Practice
Type
Foot & Ankle Surgery