Medical Practice Licenses in Nebraska

License number
Nebraska 1896
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1994
Effective Date
Aug 20, 1997
Type
Backup PA Supervisor
License number
Nebraska 4845
Address
Nebraska
Category
Medicine
Issued Date
Aug 7, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 725
Address
Nebraska
Category
Medicine
Issued Date
Nov 3, 1998
Effective Date
Mar 24, 2000
Expiration Date
Oct 1, 2000
Type
Physician Assistant Supervisor
License number
Nebraska 1753
Address
Nebraska
Category
Medicine
Issued Date
Dec 3, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1683
Address
Nebraska
Category
Medicine
Issued Date
Nov 27, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 3634
Address
Nebraska
Category
Medicine
Issued Date
Mar 30, 2000
Effective Date
Aug 4, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska 919
Address
Nebraska
Category
Medicine
Issued Date
Mar 10, 1997
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1121
Address
Nebraska
Category
Medicine
Issued Date
Sep 5, 2001
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2692
Address
Nebraska
Category
Medicine
Issued Date
Aug 5, 1998
Effective Date
Oct 1, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 1323
Address
Nebraska
Category
Medicine
Issued Date
Oct 28, 1996
Effective Date
Sep 30, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 4786
Address
Nebraska
Category
Medicine
Issued Date
Jun 24, 2002
Effective Date
Aug 22, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3640
Address
Nebraska
Category
Medicine
Issued Date
Mar 30, 2000
Effective Date
May 15, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 740
Address
Nebraska
Category
Medicine
Issued Date
Sep 18, 1998
Effective Date
Jun 1, 1999
Expiration Date
Oct 1, 1999
Type
Physician Assistant Supervisor
License number
Nebraska 4364
Address
Nebraska
Category
Medicine
Issued Date
Aug 20, 2001
Effective Date
Nov 5, 2001
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2716
Address
Nebraska
Category
Medicine
Issued Date
Sep 3, 1998
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1583
Address
Nebraska
Category
Medicine
Issued Date
Oct 12, 2004
Effective Date
Apr 3, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1120
Address
Nebraska
Category
Medicine
Issued Date
Sep 5, 2001
Effective Date
Aug 8, 2004
Expiration Date
Oct 1, 2005
Type
Physician Assistant Supervisor
License number
Nebraska 4132
Address
Nebraska
Category
Medicine
Issued Date
Mar 2, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska CO-33475-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 13, 1998
Effective Date
Nov 22, 2004
Expiration Date
Feb 16, 1998
Type
Physician Locum Tenens
License number
Nebraska 2854
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1992
Effective Date
Jul 2, 1993
Type
Temporary Educational Permit
License number
Nebraska 3289
Address
Nebraska
Category
Medicine
Issued Date
Jun 1, 1995
Effective Date
Aug 4, 1998
Expiration Date
Jul 1, 1998
Type
Temporary Educational Permit
License number
Nebraska 1484
Address
Nebraska
Category
Medicine
Issued Date
Jan 27, 2004
Effective Date
Aug 29, 2006
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 2345
Address
Nebraska
Category
Medicine
Issued Date
Jul 25, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 2268
Address
Nebraska
Category
Medicine
Issued Date
Apr 21, 2008
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 1937
Address
Nebraska
Category
Medicine
Issued Date
Sep 8, 2006
Effective Date
Oct 2, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 4305
Address
Nebraska
Category
Medicine
Issued Date
Jun 15, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 2489
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1990
Effective Date
Jul 22, 1991
Type
Temporary Educational Permit
License number
Nebraska TX-F7840-A
Address
Nebraska
Category
Medicine
Issued Date
Oct 13, 1999
Effective Date
Nov 22, 2004
Expiration Date
Jan 10, 2000
Type
Physician Locum Tenens