Medical Practice Licenses in Nebraska

License number
Nebraska PA-MD064325L-B
Address
Nebraska
Category
Medicine
Issued Date
Nov 27, 2000
Effective Date
Nov 22, 2004
Expiration Date
Dec 8, 2000
Type
Physician Locum Tenens
License number
Nebraska VA-101057212-D
Address
Nebraska
Category
Medicine
Issued Date
Oct 4, 2003
Effective Date
Oct 17, 2003
Expiration Date
Oct 17, 2003
Type
Physician Locum Tenens
License number
Nebraska MT-8329-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 18, 2003
Effective Date
Jul 21, 2003
Expiration Date
Jul 21, 2003
Type
Physician Locum Tenens
License number
Nebraska CO-35691-C
Address
Nebraska
Category
Medicine
Issued Date
Jun 23, 2008
Effective Date
Jun 27, 2008
Expiration Date
Jun 27, 2008
Type
Physician Locum Tenens
License number
Nebraska CO-35691-B
Address
Nebraska
Category
Medicine
Issued Date
Aug 27, 2007
Effective Date
Aug 31, 2007
Expiration Date
Aug 31, 2007
Type
Physician Locum Tenens
License number
Nebraska 1268
Address
Nebraska
Category
Medicine
Issued Date
Dec 12, 2014
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 1682
Address
Nebraska
Category
Medicine
Issued Date
Nov 27, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1752
Address
Nebraska
Category
Medicine
Issued Date
Dec 3, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 920
Address
Nebraska
Category
Medicine
Issued Date
Mar 10, 1997
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1899
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1994
Effective Date
Sep 12, 1996
Type
Backup PA Supervisor
License number
Nebraska 1322
Address
Nebraska
Category
Medicine
Issued Date
Oct 28, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska CO-27888-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 23, 1990
Effective Date
Nov 22, 2004
Expiration Date
Apr 27, 1990
Type
Physician Locum Tenens
License number
Nebraska 6241
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 17, 2012
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 3751
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Sep 1, 1998
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 2251
Address
Nebraska
Category
Medicine
Issued Date
Apr 1, 2008
Effective Date
Jun 30, 2008
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2774
Address
Nebraska
Category
Medicine
Issued Date
Jan 21, 1992
Type
Temporary Educational Permit
License number
Nebraska MI-00-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 15, 1982
Effective Date
Nov 22, 2004
Expiration Date
Nov 30, 1982
Type
Physician Locum Tenens
License number
Nebraska PA-046854L-B
Address
Nebraska
Category
Medicine
Issued Date
Sep 3, 2007
Effective Date
Oct 13, 2007
Expiration Date
Oct 13, 2007
Type
Physician Locum Tenens
License number
Nebraska PA-046854L-A
Address
Nebraska
Category
Medicine
Issued Date
Jun 15, 2007
Effective Date
Jul 23, 2007
Expiration Date
Jul 21, 2007
Type
Physician Locum Tenens
License number
Nebraska 149
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 1993
Effective Date
Oct 2, 1994
Type
Osteopathic Physician & Surgeon