bullred.gif (1398 bytes) Physician Locum Tenens
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bullred.gif (1398 bytes) Contact Us
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Physician Locum Tenens
Name and Address Change

To request an address change, you can contact Kelli Dalrymple at (402) 471-2118 or E-Mail at kelli.dalrymple@nebraska.gov. If you wish to change your name on your License record, you must mail a pdf icon written request with your signature notarized along with a copy of the legal document verifying name change to:

Licensure Unit
Physician Locum Tenens
PO Box 94986
Lincoln NE 68509-4986

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