| Type | 5 Year Limited |
|---|---|
| Issue Date | 8/31/2004 |
| Expire Date | 7/1/2009 |
| Baccalaureate - Nebraska |
| 201 - Birth-Preschool Education |
| 202 - K-8 Elementary Education |
| 2003 - 5-8 Middle Level Education - Natural Science |
| Test | Date Taken |
| 0439 - Middle School Science | 9/17/2005 |