Medical Practice Licenses in Nebraska

License number
Nebraska 2309
Address
Nebraska
Category
Medicine
Issued Date
Jun 11, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 744
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 1996
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska 2099
Address
Nebraska
Category
Medicine
Issued Date
Nov 13, 1996
Effective Date
Dec 12, 1997
Type
Backup PA Supervisor
License number
Nebraska WA-00005107-A
Address
Nebraska
Category
Medicine
Issued Date
Jul 29, 1996
Effective Date
Nov 22, 2004
Expiration Date
Aug 16, 1996
Type
Physician Locum Tenens
License number
Nebraska 6446
Address
Nebraska
Category
Medicine
Issued Date
May 1, 2011
Effective Date
Oct 5, 2011
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 5872
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Oct 19, 2009
Expiration Date
Jul 1, 2010
Type
Temporary Educational Permit
License number
Nebraska 1909
Address
Nebraska
Category
Medicine
Issued Date
Jul 18, 2006
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2852
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Apr 15, 1994
Type
Temporary Educational Permit
License number
Nebraska 2134
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1987
Effective Date
Nov 2, 1989
Type
Temporary Educational Permit
License number
Nebraska 2359
Address
Nebraska
Category
Medicine
Issued Date
Aug 18, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2349
Address
Nebraska
Category
Medicine
Issued Date
Jul 28, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 863
Address
Nebraska
Category
Medicine
Issued Date
Jul 11, 1994
Effective Date
Oct 2, 1997
Type
Backup PA Supervisor
License number
Nebraska OK-16881-A
Address
Nebraska
Category
Medicine
Issued Date
Nov 19, 2001
Effective Date
Apr 8, 2002
Expiration Date
Jan 15, 2002
Type
Physician Locum Tenens
License number
Nebraska 1006
Address
Nebraska
Category
Medicine
Issued Date
Feb 12, 2013
Effective Date
Oct 3, 2016
Expiration Date
Oct 1, 2016
Type
Osteopathic Physician & Surgeon
License number
Nebraska 4448
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2001
Effective Date
Mar 17, 2003
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska 2168
Address
Nebraska
Category
Medicine
Issued Date
Nov 29, 2007
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 5789
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 2008
Effective Date
Apr 19, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 279
Address
Nebraska
Category
Medicine
Issued Date
Feb 7, 1996
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4630
Address
Nebraska
Category
Medicine
Issued Date
Jan 8, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1652
Address
Nebraska
Category
Medicine
Issued Date
Jul 11, 1994
Effective Date
Oct 2, 1995
Type
Backup PA Supervisor
License number
Nebraska 2432
Address
Nebraska
Category
Medicine
Issued Date
Mar 20, 1998
Effective Date
Aug 4, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 111
Address
Nebraska
Category
Environmental Hlth Specialist
Issued Date
Oct 21, 1964
Effective Date
Dec 1, 2008
Type
Registered Environmental Health Spec