Procedure for name and/or address change
Address change
- Alabama law requires licensees to notify the Commission of an address change within 15 days
- Please use the change of address form
- Duplicate registration certificates will be issued for the new location upon request
- There is no charge for this service
Name change
- Submit an application for name change
- Provide the legal document verifying the name change
- New license and ACSC certificates will be issued with the new name (no charge)
- If you would like a new wall certificate, please use the replacement wall certificate request ($25 charge)
Copyright 2012 © The Alabama Board of Medical Examiners
All rights reserved
All rights reserved