Medical Practice Licenses in Nebraska

License number
Nebraska 5957
Address
Nebraska
Category
Medicine
Issued Date
Dec 1, 2008
Effective Date
Nov 4, 2011
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 2003
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 2007
Effective Date
Aug 8, 2008
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 791
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 1997
Effective Date
Apr 17, 1997
Type
Backup PA Supervisor
License number
Nebraska 1337
Address
Nebraska
Category
Medicine
Issued Date
Mar 31, 2003
Effective Date
Aug 15, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 208
Address
Nebraska
Category
Medicine
Issued Date
Mar 21, 1995
Effective Date
Oct 1, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 547
Address
Nebraska
Category
Medicine
Issued Date
Oct 9, 1996
Effective Date
Oct 1, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska OK-8856-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 21, 1988
Effective Date
Nov 22, 2004
Expiration Date
Apr 21, 1988
Type
Physician Locum Tenens
License number
Nebraska CO-35057-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 29, 1996
Effective Date
Nov 22, 2004
Expiration Date
May 3, 1996
Type
Physician Locum Tenens
License number
Nebraska 6962
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
May 10, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 1370
Address
Nebraska
Category
Medicine
Issued Date
Jun 19, 2003
Effective Date
Nov 14, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 1718
Address
Nebraska
Category
Medicine
Issued Date
Aug 26, 2005
Effective Date
Nov 9, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 6573
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Dec 15, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska MN-30728-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 9, 1987
Effective Date
Nov 22, 2004
Expiration Date
Oct 19, 1987
Type
Physician Locum Tenens
License number
Nebraska MN-30728-C
Address
Nebraska
Category
Medicine
Issued Date
Apr 2, 1990
Effective Date
Nov 22, 2004
Expiration Date
Apr 10, 1990
Type
Physician Locum Tenens
License number
Nebraska MN-30728-B
Address
Nebraska
Category
Medicine
Issued Date
Feb 14, 1990
Effective Date
Nov 22, 2004
Expiration Date
Feb 18, 1990
Type
Physician Locum Tenens
License number
Nebraska MN-23268-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 24, 2006
Effective Date
Apr 28, 2006
Expiration Date
Apr 28, 2006
Type
Physician Locum Tenens
License number
Nebraska 2173
Address
Nebraska
Category
Medicine
Issued Date
Dec 7, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 761
Address
Nebraska
Category
Medicine
Issued Date
Jan 14, 1999
Effective Date
Oct 3, 2007
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2145
Address
Nebraska
Category
Medicine
Issued Date
Oct 3, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4664
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4771
Address
Nebraska
Category
Medicine
Issued Date
May 30, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4436
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 568
Address
Nebraska
Category
Medicine
Issued Date
Jan 10, 1997
Effective Date
Nov 19, 1998
Expiration Date
Oct 1, 1999
Type
Physician Assistant Supervisor