Verification Details

Verification Details

Requestor Information

Requestor Information

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Date : 07/16/2019
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(Board of Physical Therapy charge will appear as "ALABAMA BOARD OF PHYSICAL THERAPY" and convenience fee will appear as "iGov ePay LLC" on your statement.)

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(Board of Respiratory charge will appear as "ALA ST BOARD OF Respiratory" and convenience fee will appear as "iGov ePay LLC" on your statement.)
Please note that after you click the Submit button, you cannot make changes to your application.

Mailing Address: 100 North Union Street, Suite 724, Montgomery, AL 36130-5040