Medical Practice Licenses in Nebraska

License number
Nebraska 1155
Address
Nebraska
Category
Medicine
Issued Date
Jun 8, 1994
Effective Date
Sep 25, 1996
Type
Backup PA Supervisor
License number
Nebraska 2208
Address
Nebraska
Category
Medicine
Issued Date
Feb 1, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 803
Address
Nebraska
Category
Medicine
Issued Date
Mar 14, 1994
Effective Date
Sep 25, 1996
Type
Backup PA Supervisor
License number
Nebraska 969
Address
Nebraska
Category
Medicine
Issued Date
Apr 2, 1989
Effective Date
Sep 25, 1996
Type
Backup PA Supervisor
License number
Nebraska 2283
Address
Nebraska
Category
Medicine
Issued Date
May 7, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1710
Address
Nebraska
Category
Medicine
Issued Date
Aug 11, 2005
Effective Date
Nov 14, 2005
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 760
Address
Nebraska
Category
Medicine
Issued Date
Aug 30, 1991
Effective Date
Sep 25, 1996
Type
Backup PA Supervisor
License number
Nebraska 3070
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1993
Type
Temporary Educational Permit
License number
Nebraska 3234
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1994
Effective Date
Dec 18, 1995
Type
Temporary Educational Permit
License number
Nebraska 6271
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2010
Effective Date
Jul 11, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska IL36041379-A
Address
Nebraska
Category
Medicine
Issued Date
May 28, 2002
Effective Date
Nov 22, 2004
Expiration Date
Jun 28, 2002
Type
Physician Locum Tenens
License number
Nebraska 146
Address
Nebraska
Category
Medicine
Issued Date
Sep 28, 1994
Effective Date
Jul 2, 1997
Type
Temporary Educational Permit
License number
Nebraska 3383
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Nov 6, 1996
Type
Temporary Educational Permit
License number
Nebraska VA-0101257539-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 5, 2016
Effective Date
Oct 3, 2016
Expiration Date
Aug 31, 2016
Type
Physician Locum Tenens
License number
Nebraska OK-6789-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 7, 1994
Effective Date
Nov 22, 2004
Expiration Date
Mar 4, 1994
Type
Physician Locum Tenens
License number
Nebraska 2521
Address
Nebraska
Category
Medicine
Issued Date
Jul 16, 2009
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2266
Address
Nebraska
Category
Medicine
Issued Date
Apr 18, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2736
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1991
Effective Date
Oct 6, 1992
Type
Temporary Educational Permit