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Temporary Educational Permit
Name Change

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:

DHHS, Licensure Unit
ATTN: Medical Office
PO Box 94986
Lincoln NE 68509-4986

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Professions and Occupations Home 

Licensure Unit Home

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