Medical Practice Licenses in Nebraska

License number
Nebraska 825
Address
Nebraska
Category
Medicine
Issued Date
Jun 29, 1999
Effective Date
Oct 6, 2009
Expiration Date
Oct 1, 2009
Type
Physician Assistant Supervisor
License number
Nebraska 4796
Address
Nebraska
Category
Medicine
Issued Date
Jun 25, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 729
Address
Nebraska
Category
Medicine
Issued Date
Sep 27, 1995
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4171
Address
Nebraska
Category
Medicine
Issued Date
May 3, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3882
Address
Nebraska
Category
Medicine
Issued Date
Oct 18, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3565
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1996
Effective Date
Oct 1, 1996
Type
Temporary Educational Permit
License number
Nebraska 4126
Address
Nebraska
Category
Medicine
Issued Date
Feb 23, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4127
Address
Nebraska
Category
Medicine
Issued Date
Feb 23, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska PA-23500E-T
Address
Nebraska
Category
Medicine
Issued Date
Dec 19, 1997
Effective Date
Nov 22, 2004
Expiration Date
Dec 31, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-O
Address
Nebraska
Category
Medicine
Issued Date
Nov 19, 1997
Effective Date
Nov 22, 2004
Expiration Date
Nov 21, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-M
Address
Nebraska
Category
Medicine
Issued Date
Nov 10, 1997
Effective Date
Nov 22, 2004
Expiration Date
Nov 10, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-J
Address
Nebraska
Category
Medicine
Issued Date
Oct 29, 1997
Effective Date
Nov 22, 2004
Expiration Date
Oct 31, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-I
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1997
Effective Date
Nov 22, 2004
Expiration Date
Oct 27, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-H
Address
Nebraska
Category
Medicine
Issued Date
Oct 23, 1997
Effective Date
Nov 22, 2004
Expiration Date
Oct 23, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-E
Address
Nebraska
Category
Medicine
Issued Date
Oct 15, 1997
Effective Date
Nov 22, 2004
Expiration Date
Oct 17, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-U
Address
Nebraska
Category
Medicine
Issued Date
Jan 7, 1998
Effective Date
Nov 22, 2004
Expiration Date
Feb 6, 1998
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-B
Address
Nebraska
Category
Medicine
Issued Date
Sep 2, 1997
Effective Date
Nov 22, 2004
Expiration Date
Sep 19, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-F
Address
Nebraska
Category
Medicine
Issued Date
Oct 20, 1997
Effective Date
Nov 22, 2004
Expiration Date
Oct 20, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-R
Address
Nebraska
Category
Medicine
Issued Date
Dec 1, 1997
Effective Date
Nov 22, 2004
Expiration Date
Dec 1, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-K
Address
Nebraska
Category
Medicine
Issued Date
Nov 3, 1997
Effective Date
Nov 22, 2004
Expiration Date
Nov 3, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 12, 1997
Effective Date
Nov 22, 2004
Expiration Date
Aug 29, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-Q
Address
Nebraska
Category
Medicine
Issued Date
Nov 26, 1997
Effective Date
Nov 22, 2004
Expiration Date
Nov 30, 1997
Type
Physician Locum Tenens
License number
Nebraska PA-23500E-G
Address
Nebraska
Category
Medicine
Issued Date
Oct 22, 1997
Effective Date
Nov 22, 2004
Expiration Date
Oct 22, 1997
Type
Physician Locum Tenens
License number
Nebraska 5450
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2006
Effective Date
Mar 20, 2007
Expiration Date
Jul 1, 2007
Type
Temporary Educational Permit