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bullred.gif (1398 bytes) Physician Locum Tenens Permit
bullred.gif (1398 bytes) Application Procedures/Requirements
bullred.gif (1398 bytes) Applications
bullred.gif (1398 bytes) Board Information
bullred.gif (1398 bytes) Brochures
bullred.gif (1398 bytes) Certification/ Verification
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bullred.gif (1398 bytes) Contact Us
bullred.gif (1398 bytes) License Lookup
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bullred.gif (1398 bytes) Name and Address Change
bullred.gif (1398 bytes) Regulations
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Physician Locum Tenens
Name and Address Change

To request an address change, you can contact Meegan Dyrland at (402) 471-2118 or E-Mail at meegan.dyrland@dhhs.ne.gov. If you wish to change your name on your Licensing & Regulatory Affairs 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:

Licensing & Regulatory Affairs
Physician Locum Tenens
PO Box 94986
Lincoln NE 68509-4986

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