Medical Practice Licenses in Nebraska

License number
Nebraska 3191
Address
Nebraska
Category
Medicine
Issued Date
Aug 31, 1999
Effective Date
Apr 27, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3702
Address
Nebraska
Category
Medicine
Issued Date
May 4, 2000
Effective Date
Dec 26, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3424
Address
Nebraska
Category
Medicine
Issued Date
Dec 17, 1999
Effective Date
Dec 26, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3963
Address
Nebraska
Category
Medicine
Issued Date
Dec 5, 2000
Effective Date
Dec 26, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3681
Address
Nebraska
Category
Medicine
Issued Date
Apr 27, 2000
Effective Date
Dec 26, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 1935
Address
Nebraska
Category
Medicine
Issued Date
Oct 13, 1995
Effective Date
Oct 2, 1997
Type
Backup PA Supervisor
License number
Nebraska 3673
Address
Nebraska
Category
Medicine
Issued Date
Apr 27, 2000
Effective Date
Dec 26, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 3371
Address
Nebraska
Category
Medicine
Issued Date
Oct 28, 1999
Effective Date
Dec 26, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 447
Address
Nebraska
Category
Medicine
Issued Date
May 9, 1996
Effective Date
Dec 26, 2000
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 4663
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2002
Effective Date
May 23, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 983
Address
Nebraska
Category
Medicine
Issued Date
Jan 13, 2006
Effective Date
Feb 2, 2006
Expiration Date
Jan 13, 2007
Type
Temporary Physician Assistant
License number
Nebraska 1865
Address
Nebraska
Category
Medicine
Issued Date
Aug 29, 1994
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3753
Address
Nebraska
Category
Medicine
Issued Date
Jul 20, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 5745
Address
Nebraska
Category
Medicine
Issued Date
Mar 1, 2008
Effective Date
Jun 13, 2008
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 4421
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2001
Effective Date
Jul 2, 2004
Expiration Date
Jul 1, 2004
Type
Temporary Educational Permit
License number
Nebraska CO-50317-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 22, 2011
Effective Date
Oct 1, 2011
Expiration Date
Oct 1, 2011
Type
Physician Locum Tenens
License number
Nebraska CA-G78695-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 27, 2012
Effective Date
Apr 30, 2012
Expiration Date
Apr 30, 2012
Type
Physician Locum Tenens
License number
Nebraska 6451
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2011
Effective Date
Jul 17, 2013
Expiration Date
Jul 1, 2014
Type
Temporary Educational Permit
License number
Nebraska 5206
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
Oct 18, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 5202
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2005
Effective Date
Feb 9, 2012
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska NC-39641-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 9, 1996
Effective Date
Nov 22, 2004
Expiration Date
Sep 13, 1996
Type
Physician Locum Tenens
License number
Nebraska NC-39641-B
Address
Nebraska
Category
Medicine
Issued Date
Sep 16, 1996
Effective Date
Nov 22, 2004
Expiration Date
Sep 20, 1996
Type
Physician Locum Tenens
License number
Nebraska 3038
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Jul 11, 1995
Type
Temporary Educational Permit
License number
Nebraska 3342
Address
Nebraska
Category
Medicine
Issued Date
Oct 22, 1999
Effective Date
Aug 3, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3348
Address
Nebraska
Category
Medicine
Issued Date
Oct 27, 1999
Effective Date
Oct 1, 2000
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 4902
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
Jan 7, 2005
Expiration Date
Jul 1, 2005
Type
Temporary Educational Permit
License number
Nebraska 5669
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Jul 2, 2010
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 4859
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
Jan 27, 2006
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit