Medical Practice Licenses in Nebraska

License number
Nebraska 2224
Address
Nebraska
Category
Medicine
Issued Date
Feb 21, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 22
Address
Nebraska
Category
Medicine
Issued Date
Jul 14, 1998
Effective Date
Oct 20, 1998
Expiration Date
Oct 14, 1998
Type
90-Day Temporary Educational Permit
License number
Nebraska 3978
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 1998
Effective Date
Jul 10, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska IL-036-92062-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 30, 1996
Effective Date
Nov 22, 2004
Expiration Date
Sep 2, 1996
Type
Physician Locum Tenens
License number
Nebraska 6409
Address
Nebraska
Category
Medicine
Issued Date
Jul 21, 2010
Effective Date
Jul 12, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 5594
Address
Nebraska
Category
Medicine
Issued Date
May 14, 2007
Effective Date
Sep 22, 2008
Expiration Date
Jul 1, 2009
Type
Temporary Educational Permit
License number
Nebraska 4765
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 1953
Address
Nebraska
Category
Medicine
Issued Date
Nov 2, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 3098
Address
Nebraska
Category
Medicine
Issued Date
May 24, 1999
Effective Date
Jun 1, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 452
Address
Nebraska
Category
Medicine
Issued Date
Sep 21, 1994
Effective Date
Oct 3, 1996
Type
Physician Assistant Supervisor
License number
Nebraska 3330
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Jul 2, 2001
Expiration Date
Jul 1, 2001
Type
Temporary Educational Permit
License number
Nebraska 77
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Sep 16, 1964
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec
License number
Nebraska 3502
Address
Nebraska
Category
Medicine
Issued Date
Jun 20, 1996
Effective Date
Aug 4, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 3039
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Apr 25, 1995
Type
Temporary Educational Permit
License number
Nebraska 4303
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2000
Effective Date
Mar 11, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 4070
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1999
Effective Date
May 3, 2002
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 1312
Address
Nebraska
Category
Medicine
Issued Date
Feb 13, 2003
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2150
Address
Nebraska
Category
Medicine
Issued Date
Oct 15, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1342
Address
Nebraska
Category
Medicine
Issued Date
Jul 9, 2015
Effective Date
Jul 28, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 390
Address
109 N 29Th St, Hadar, NE 68701
Category
Medical Practice
Type
Orthopaedic Surgery of the Spine