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  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 |