Medical Practice Licenses in Nebraska

License number
Nebraska 243
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Jul 1, 1979
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 2550
Address
Nebraska
Category
Medicine
Issued Date
Jul 2, 1990
Effective Date
Jul 1, 1991
Type
Temporary Educational Permit
License number
Nebraska 5084
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
May 1, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit
License number
Nebraska 535
Address
Nebraska
Category
Medicine
Issued Date
May 1, 2007
Effective Date
Oct 2, 2008
Expiration Date
Oct 1, 2008
Type
Osteopathic Physician & Surgeon
License number
Nebraska 6888
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 CA-A74054-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 1, 2015
Effective Date
Oct 29, 2015
Expiration Date
Nov 30, 2015
Type
Physician Locum Tenens
License number
Nebraska IA-38302-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 4, 2009
Effective Date
Mar 21, 2017
Expiration Date
Aug 14, 2009
Type
Physician Locum Tenens
License number
Nebraska 4566
Address
Nebraska
Category
Medicine
Issued Date
Nov 9, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3211
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Jul 6, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 7565
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2015
Effective Date
Jul 10, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 5033
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Jul 1, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 4062
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
Jul 2, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 2407
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1989
Effective Date
Oct 1, 1994
Type
Temporary Educational Permit
License number
Nebraska CO-00-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 15, 1982
Effective Date
Nov 22, 2004
Expiration Date
Jan 1, 1983
Type
Physician Locum Tenens
License number
Nebraska 2788
Address
Nebraska
Category
Medicine
Issued Date
Oct 30, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska KS-94-04044-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 2, 1996
Effective Date
Nov 22, 2004
Expiration Date
Aug 4, 1996
Type
Physician Locum Tenens
License number
Nebraska KS-94-04044-B
Address
Nebraska
Category
Medicine
Issued Date
Aug 18, 1996
Effective Date
Nov 22, 2004
Expiration Date
Aug 23, 1996
Type
Physician Locum Tenens