Medical Practice Licenses in Nebraska

License number
Nebraska 2785
Address
Nebraska
Category
Medicine
Issued Date
Oct 30, 1998
Effective Date
Feb 26, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3501
Address
Nebraska
Category
Medicine
Issued Date
Jun 20, 1996
Effective Date
Jul 2, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska OK-18585-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Nov 22, 2004
Expiration Date
Sep 30, 1994
Type
Physician Locum Tenens
License number
Nebraska 4432
Address
Nebraska
Category
Medicine
Issued Date
Aug 27, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3991
Address
Nebraska
Category
Medicine
Issued Date
Dec 20, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3654
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Dec 1, 1998
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 4035
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5985
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
May 5, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 6406
Address
Nebraska
Category
Medicine
Issued Date
Jul 15, 2010
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska CA-72856-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 17, 2008
Effective Date
Sep 15, 2008
Expiration Date
Mar 21, 2008
Type
Physician Locum Tenens
License number
Nebraska 2672
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 1, 1992
Type
Temporary Educational Permit
License number
Nebraska FL-ME107153-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 2, 2012
Effective Date
May 1, 2012
Expiration Date
May 1, 2012
Type
Physician Locum Tenens
License number
Nebraska CA-68116-A
Address
Nebraska
Category
Medicine
Issued Date
Jan 22, 2007
Effective Date
Feb 23, 2007
Expiration Date
Feb 2, 2007
Type
Physician Locum Tenens