Ala. Admin. Code r. 540-X-3-.11 - Application Forms Required for a Certificate of Qualification
Current through Register Vol. 40, No. 6, March 31, 2022
(1) The application
for a certificate of qualification for a full license to practice medicine is
contained in Appendix A to Chapter 3. Applicants shall also complete the
Federation of State Medical Boards (FSMB) on-line Uniform
Application.
(2) The application
form for a certificate of qualification for a limited license is contained in
Appendix B to Chapter 3.
(3) The
application form for a certificate of qualification under the Retired Senior
Volunteer Physician Program is contained in Appendix C to Chapter 3.
(4) The application form for a renewal of a
certificate of qualification under the Retired Senior Volunteer Physician
Program is contained in Appendix D to Chapter 3.
(5) The application form for renewal of
limited certificate of qualification is contained in Appendix E to Chapter
3.
(6) The application form for
reinstatement of a certificate of qualification is contained in Appendix F to
Chapter 3.
Notes
Authors: Wendell R. Morgan, Patricia E. Shaner, Attorneys for the Alabama Board of Medical Examiners
Statutory Authority: Code of Ala. 1975, ยง 34-24-53; Act No. 93-148.
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