Medical Practice Licenses in Nebraska

License number
Nebraska 4115
Address
Nebraska
Category
Medicine
Issued Date
Feb 7, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 116
Address
Nebraska
Category
Medicine
Issued Date
Jul 10, 1992
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 581
Address
Nebraska
Category
Medicine
Issued Date
Mar 4, 1998
Effective Date
May 31, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 664
Address
Nebraska
Category
Medicine
Issued Date
May 5, 1998
Effective Date
Oct 1, 1998
Expiration Date
Oct 1, 1998
Type
Physician Assistant Supervisor
License number
Nebraska 4455
Address
Nebraska
Category
Medicine
Issued Date
Sep 6, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska LA-005600-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 1, 1989
Effective Date
Nov 22, 2004
Expiration Date
Mar 8, 1989
Type
Physician Locum Tenens
License number
Nebraska 4326
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2000
Effective Date
Jul 31, 2002
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 320
Address
Nebraska
Category
Medicine
Issued Date
Aug 30, 1993
Effective Date
Jan 19, 1996
Type
Physician Assistant Supervisor
License number
Nebraska 539
Address
Nebraska
Category
Medicine
Issued Date
Mar 4, 1996
Effective Date
Oct 20, 1999
Expiration Date
Oct 1, 1999
Type
Physician Assistant Supervisor
License number
Nebraska 1938
Address
Nebraska
Category
Medicine
Issued Date
Dec 30, 1994
Effective Date
Mar 24, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 4248
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2000
Effective Date
Jul 2, 2004
Expiration Date
Jul 1, 2004
Type
Temporary Educational Permit
License number
Nebraska 2772
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 1991
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 1039
Address
Nebraska
Category
Medicine
Issued Date
Sep 6, 1989
Effective Date
Jan 16, 1991
Type
Backup PA Supervisor
License number
Nebraska 307
Address
Nebraska
Category
Medicine
Issued Date
Sep 11, 2001
Effective Date
Oct 2, 2012
Expiration Date
Oct 1, 2012
Type
Osteopathic Physician & Surgeon
License number
Nebraska 2166
Address
Nebraska
Category
Medicine
Issued Date
Nov 28, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 973
Address
Nebraska
Category
Medicine
Issued Date
Aug 24, 2000
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2526
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1990
Effective Date
Aug 11, 1992
Type
Temporary Educational Permit
License number
Nebraska 5589
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2007
Effective Date
Oct 6, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 1914
Address
Nebraska
Category
Medicine
Issued Date
Jun 30, 1997
Effective Date
Oct 2, 1997
Type
Backup PA Supervisor
License number
Nebraska 1912
Address
Nebraska
Category
Medicine
Issued Date
Sep 15, 1994
Effective Date
Oct 2, 1997
Type
Backup PA Supervisor
License number
Nebraska 1744
Address
Nebraska
Category
Medicine
Issued Date
Oct 6, 2005
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 177
Address
Nebraska
Category
Medicine
Issued Date
Jun 3, 1991
Effective Date
Jul 28, 1999
Expiration Date
Oct 1, 1999
Type
Physician Assistant Supervisor
License number
Nebraska 140
Address
Nebraska
Category
Medicine
Issued Date
Jun 3, 1991
Effective Date
Jun 26, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 1869
Address
Nebraska
Category
Medicine
Issued Date
May 15, 2006
Effective Date
May 31, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 2179
Address
Nebraska
Category
Medicine
Issued Date
Dec 14, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4172
Address
Nebraska
Category
Medicine
Issued Date
Jan 20, 2000
Effective Date
Aug 2, 2000
Expiration Date
Jul 1, 2000
Type
Temporary Educational Permit
License number
Nebraska 1021
Address
Nebraska
Category
Medicine
Issued Date
Dec 22, 2000
Effective Date
Jul 30, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 1204
Address
Nebraska
Category
Medicine
Issued Date
May 9, 2002
Effective Date
Nov 21, 2003
Expiration Date
Oct 1, 2003
Type
Physician Assistant Supervisor
License number
Nebraska 37
Address
Nebraska
Category
Medicine
Issued Date
Mar 1, 1983
Effective Date
Jun 26, 1989
Type
Osteopathic Physician
License number
Nebraska CO-25465-A
Address
Nebraska
Category
Medicine
Issued Date
Mar 25, 1984
Effective Date
Nov 22, 2004
Expiration Date
Apr 8, 1984
Type
Physician Locum Tenens
License number
Nebraska 5629
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2007
Effective Date
Aug 5, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 6778
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Dec 12, 2014
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 6862
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 11, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 4936
Address
Nebraska
Category
Medicine
Issued Date
Jan 1, 2004
Effective Date
Mar 30, 2004
Expiration Date
Jan 31, 2004
Type
Temporary Educational Permit
License number
Nebraska 6549
Address
Nebraska
Category
Medicine
Issued Date
Nov 7, 2011
Effective Date
Dec 12, 2011
Expiration Date
Dec 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 2319
Address
Nebraska
Category
Medicine
Issued Date
May 25, 1989
Effective Date
Sep 7, 1993
Type
Temporary Educational Permit
License number
Nebraska 1931
Address
715 N Kansas Ave, Hastings, NE 68901
Category
Medical Practice
Type
Specialist