Medical Practice Licenses in Nebraska

License number
Nebraska 507
Address
Nebraska
Category
Medicine
Issued Date
May 8, 1996
Effective Date
Apr 1, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 2104
Address
Nebraska
Category
Medicine
Issued Date
May 29, 1997
Effective Date
Jan 1, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2675
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 3413
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Aug 17, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska GA-76079-A
Address
Nebraska
Category
Medicine
Issued Date
Apr 13, 2015
Effective Date
Jul 13, 2015
Expiration Date
Jul 11, 2015
Type
Physician Locum Tenens
License number
Nebraska 2987
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Effective Date
Jun 30, 1994
Type
Temporary Educational Permit
License number
Nebraska 594
Address
Nebraska
Category
Medicine
Issued Date
Apr 18, 1997
Effective Date
Nov 23, 1999
Expiration Date
Oct 1, 1999
Type
Physician Assistant Supervisor
License number
Nebraska 1535
Address
Nebraska
Category
Medicine
Issued Date
Sep 15, 1994
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 435
Address
Nebraska
Category
Medicine
Issued Date
Aug 2, 2005
Effective Date
Oct 2, 2008
Expiration Date
Oct 1, 2008
Type
Osteopathic Physician & Surgeon
License number
Nebraska 2288
Address
Nebraska
Category
Medicine
Issued Date
Feb 18, 1997
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2554
Address
Nebraska
Category
Medicine
Issued Date
Jul 2, 1990
Effective Date
Mar 7, 1994
Type
Temporary Educational Permit
License number
Nebraska 5703
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 6260
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska IL-036-26848-C
Address
Nebraska
Category
Medicine
Issued Date
Jan 12, 1991
Effective Date
Nov 22, 2004
Expiration Date
Jan 21, 1991
Type
Physician Locum Tenens
License number
Nebraska OK-20034-B
Address
Nebraska
Category
Medicine
Issued Date
Dec 1, 2000
Effective Date
Jan 5, 2001
Expiration Date
Dec 6, 2000
Type
Physician Locum Tenens
License number
Nebraska OK-20034-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 29, 2000
Effective Date
Nov 9, 2000
Expiration Date
Nov 2, 2000
Type
Physician Locum Tenens
License number
Nebraska 1041
Address
Nebraska
Category
Medicine
Issued Date
Jan 12, 2001
Effective Date
Mar 10, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 6223
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 3, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 2081
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1987
Effective Date
May 31, 1991
Type
Temporary Educational Permit
License number
Nebraska TX-H2561-B
Address
Nebraska
Category
Medicine
Issued Date
May 15, 2000
Effective Date
Nov 22, 2004
Expiration Date
May 19, 2000
Type
Physician Locum Tenens
License number
Nebraska TX-H2561-A
Address
Nebraska
Category
Medicine
Issued Date
May 8, 2000
Effective Date
Nov 22, 2004
Expiration Date
May 12, 2000
Type
Physician Locum Tenens