Medical Practice Licenses in Nebraska

License number
Nebraska 3156
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Jun 30, 1997
Type
Temporary Educational Permit
License number
Nebraska 6830
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 11, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 240
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Jun 1, 1978
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 1728
Address
Nebraska
Category
Medicine
Issued Date
Oct 2, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1599
Address
Nebraska
Category
Medicine
Issued Date
Nov 22, 2004
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1968
Address
Nebraska
Category
Medicine
Issued Date
Jan 25, 1996
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 137
Address
Nebraska
Category
Medicine
Issued Date
Jan 25, 1996
Effective Date
Oct 2, 2003
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska IA-17929-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 14, 1994
Effective Date
Nov 22, 2004
Expiration Date
Jun 17, 1994
Type
Physician Locum Tenens
License number
Nebraska NY-261855-A
Address
Nebraska
Category
Medicine
Issued Date
May 28, 2012
Effective Date
Jun 25, 2012
Expiration Date
Jun 25, 2012
Type
Physician Locum Tenens
License number
Nebraska MN-34237-C
Address
Nebraska
Category
Medicine
Issued Date
Jul 19, 1993
Effective Date
Nov 22, 2004
Expiration Date
Jul 24, 1993
Type
Physician Locum Tenens
License number
Nebraska MN-34237-A
Address
Nebraska
Category
Medicine
Issued Date
Sep 7, 1992
Effective Date
Nov 22, 2004
Expiration Date
Sep 11, 1992
Type
Physician Locum Tenens
License number
Nebraska 4001
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 1999
Effective Date
Aug 1, 2000
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska WI-40468-B
Address
Nebraska
Category
Medicine
Issued Date
Mar 7, 2005
Effective Date
Apr 12, 2005
Expiration Date
Jun 4, 2005
Type
Physician Locum Tenens
License number
Nebraska WI-40468-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 3, 2002
Effective Date
Jan 31, 2003
Expiration Date
Jan 31, 2003
Type
Physician Locum Tenens
License number
Nebraska 6960
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2013
Effective Date
Jun 25, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 6800
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Dec 31, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 202
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Jun 5, 1974
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 3579
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1996
Effective Date
Jul 2, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 5333
Address
Nebraska
Category
Medicine
Issued Date
Mar 7, 2006
Effective Date
Jul 1, 2006
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska 5420
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Oct 15, 2007
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit