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Procedure for Address or Name Change Address Change

Pursuant to Alabama law, if a licensee changes his or her address during the year for which a license has been issued by the Commission, such licensee must, within 15 days thereafter, notify the Commission of such change, whereupon the Commission shall issue to such registrant without additional fee, a duplicate registration certificate for such new location. 

The Commission must have the notification in writing:

Click here to link to a form you can fill out online and email to the Commission (requires latest version of Acrobat Adobe Reader:  download here).

OR

You may print the completed form and send it by fax (334) 242-4155, e-mail (request@albme.org), or mail to the address on the Contact Information page.


Name Change

To effect a name change of a licensee, the Medical Licensure Commission must be in receipt of the Application for Name Change on License to Practice Medicine, along with a copy of the legal document verifying the name change.  You must return your wall certificate in the previous name in order to receive a new wall certificate with the name change.  There is a fee of $25 for a name change and replacement certificate.

 
     
 
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