burg bullet Medical Nutrition Therapy Page
burg bullet Application Process/Requirements
burg bullet Applications
burg bullet Board Information
burg bullet Brochures
burg bullet Certifications/Verifications
burg bullet Complaints
burg bullet Contacts
  Contact Us
  Other Contacts
burg bullet Continuing Education   
burg bullet Convictions or Licensure Discipline
burg bullet Denial/Discipline of a License
burg bullet Duplicates/Reissue
burg bullet Examination Information
burg bullet Fees
burg bullet Licensee Assistance Program
burg bullet License Lookup
burg bullet Orders - Listings and Labels
burg bullet Name and Address Changes
burg bullet Renewal Information
burg bullet Regulations
Statutes
burg bullet Unprofessional Conduct

Medical Nutrition Therapy
Name and Address Changes

To request an address change, you can contact Licensure Unit at (402) 471-2117. 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
Medical Nutrition Therapy
PO Box 94986
Lincoln NE 68509-4986

crl divider

Professions and Occupations Home

Licensure Unit Home

Documents in PDF PDF format require the use of Adobe Acrobat Reader
which can be downloaded for free from Adobe Systems, Inc.