License holder summary

Edmund Pendleton Lively MD is a Medicine - Physician licensed to practice in Nebraska. This licensed professional license is not current. The license was granted 11/05/1974.

Nebraska

Board of Licensing

Edmund Pendleton Lively MD
Medicine - Physician
License number
12919
Date granted
11/05/1974
Class
Medicine - Physician
Status
Revoked
Address
licensingnebraska.com
ID 49489009
LAST UPDATED 2024-02-19 20:35:46 UTC

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