Medical Practice Licenses in Nebraska

License number
Nebraska 9
Address
601 N 30Th St, Omaha, NE 68131
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
License number
Nebraska 3329
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Aug 23, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3308
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Aug 30, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4021
Address
Nebraska
Category
Medicine
Issued Date
Dec 26, 2000
Effective Date
Oct 2, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3314
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 1999
Effective Date
Oct 2, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1246
Address
Nebraska
Category
Medicine
Issued Date
Sep 10, 2002
Effective Date
Aug 14, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 975
Address
Nebraska
Category
Medicine
Issued Date
May 1, 1996
Effective Date
Jan 29, 1999
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 4345
Address
Nebraska
Category
Medicine
Issued Date
Aug 15, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1347
Address
Nebraska
Category
Medicine
Issued Date
May 1, 1996
Effective Date
Sep 25, 1996
Type
Backup PA Supervisor
License number
Nebraska 765
Address
Nebraska
Category
Medicine
Issued Date
May 1, 1996
Effective Date
Oct 30, 1998
Expiration Date
Oct 1, 1999
Type
Backup PA Supervisor
License number
Nebraska 002
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Sep 14, 2009
Effective Date
Sep 24, 2010
Expiration Date
Sep 14, 2010
Type
Provisional Environmental Health Special
License number
Nebraska 1994
Address
Nebraska
Category
Medicine
Issued Date
Jan 29, 2007
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 7114
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jul 11, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 5641
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Oct 23, 2012
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska MO-R7001-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 22, 2007
Effective Date
Dec 20, 2007
Expiration Date
Dec 31, 2007
Type
Physician Locum Tenens
License number
Nebraska 610
Address
Nebraska
Category
Medicine
Issued Date
Oct 23, 1997
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 218
Address
Nebraska
Category
Medicine
Issued Date
Mar 8, 1991
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 1294
Address
Nebraska
Category
Medicine
Issued Date
Feb 7, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1165
Address
Nebraska
Category
Medicine
Issued Date
Jan 8, 2002
Effective Date
Aug 22, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 917
Address
Nebraska
Category
Medicine
Issued Date
Dec 1, 1994
Effective Date
Oct 2, 1995
Type
Backup PA Supervisor
License number
Nebraska 1292
Address
Nebraska
Category
Medicine
Issued Date
Sep 14, 1988
Effective Date
Sep 5, 1996
Type
Backup PA Supervisor
License number
Nebraska 287
Address
16909 Lakeside Hills Ct STE 208, Omaha, NE 68130
Category
Medical Practice
Type
Foot & Ankle Surgery