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 2026-05-08 14:58:34 UTC
LAST UPDATED 2026-05-08 14:58:34 UTC
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