abme.igovsolution.net
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URL:
https://abme.igovsolution.net/online/Lookups/Individual_Lookup.aspx
Submission: On September 15 via manual from IN — Scanned from DE
Submission: On September 15 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
Name: aspnetForm — POST ./Individual_Lookup.aspx
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<script type="text/javascript">
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Sys.WebForms.PageRequestManager._initialize('ctl00$scr', 'aspnetForm', [], [], [], 90, 'ctl00');
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<div class="row" style="background-color:#3e68ac;width:100%; padding-top:5px; padding-bottom:5px; padding-left:0px !important; padding-right:0px !important;">
<div class="col-md-3 col-sm-12 col-xs-12">
<div><a><div class="logo2 "></div></a></div>
<div style="padding-top: 25px; "><a href="https://www.albme.gov/" target="_blank" style="color:white !important;text-decoration:none;font-size: calc(11px + .5vw); margin-left: 8px;">Alabama Board of Medical Examiners</a> </div>
</div>
<div class="col-md-8 col-sm-12 col-xs-12">
<div><a href="https://www.albme.gov/" target="_blank"><div class="logonew"></div> </a></div>
<div style="padding-top: 25px; ">
<a href="https://www.albme.gov/" target="_blank" style="color:white !important;text-decoration:none; padding-top: 25px; margin-left: 5px;font-size: calc(11px + .5vw); margin-left: 8px;">Medical Licensure Commission of Alabama</a> </div>
</div>
<div class="col-md-1 col-sm-8 col-xs-12" style="text-align: right; padding-top:25px;"><a href="http://www.albme.gov" target="_blank" style="color:white !important; font-size: calc(11px + .5vw); padding-right:15px !important; ">Home</a> </div>
</div>
<div class="bdycnt">
<div class="head1">
<div class="circles">
<div class="second circle">
<strong></strong>
</div>
</div>
<div>
<div class="profilemenu">
<div style="padding-bottom:13px;">
<div class="mrb1" onclick="Openpg(3)">
<i class="fa fa-Book fa-1x"></i>
<p> Application Status </p>
</div>
</div>
<div style="padding-bottom:13px;">
<div class="mrb1 mcomplete" onclick="Openpg(1)">
<i class="fa fa-users fa-1x"></i>
<p> License Verification </p>
</div>
</div>
<div style="padding-bottom:13px;">
<div class="mrb1" onclick="Openpg(2)">
<i class="fa fa-file fa-1x"></i>
<p> Public Log File</p>
</div>
</div>
</div>
</div>
</div>
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<!-- progressbar -->
<!-- fieldsets -->
<div class="fieldset">
<script src="https://www.google.com/recaptcha/api.js"></script>
<script>
var cresponse = "";
var correctCaptcha = function(response) {
cresponse = response;
};
</script>
<script>
function Validate_Search() {
if (document.getElementById('ctl00_cntbdy_txt_lastname').value != '' && document.getElementById('ctl00_cntbdy_txt_lastname').value.length < 2) {
Msgbox("<li>Please enter at least two characters in the last name.</li>");
return false;
}
if (document.getElementById('ctl00_cntbdy_txt_linum').value == '' && document.getElementById('ctl00_cntbdy_txt_lastname').value == '') {
Msgbox("<li>Either License Number Or Last Name Is Mandatory.</li>");
return false;
}
if (cresponse == "") {
Msgbox("<li>Please verify you are not a robot.</li>");
return false;
} else {
verifycatcha();
return false;
}
}
function verifycatcha() {
var pdata = {};
pdata["resp"] = cresponse;
pdata["uip"] = "";
$.ajax({
url: '../JS_grd/Grid.svc/Verifycaptcha',
type: "POST",
contentType: "application/json; charset=utf-8",
data: JSON.stringify(pdata),
dataType: "json",
success: function(data) {
cresponse = "";
grecaptcha.reset();
BindIndividualdata(data.d);
},
failure: function(error) {
return "";
},
error: function(error) {
return "";
}
});
}
</script>
<script type="text/javascript">
var dataIn = '';
var sa5 = new sagrid();
sa5.url = "../JS_grd/Grid.svc/GetIndv_license";
sa5.primarykeyval = "License_ID";
sa5.bindid = "grdlkp";
sa5.cols = [new dcol("Name", "Name"), new dcol("LICENSE #", "Lic_no"), new dcol("LICENSE TYPE", "License_Type"), new dcol("STATUS", "License_Status"), new dcol("ISSUED", "Issue_date"), new dcol("EXPIRATION", "Expire_date"), new dcol(
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sa5.objname = "sa5";
sa5.aftercall = "Aftercall";
function close_cert() {
$('#crtpop').dialog('close');
}
function BindIndividualdata(d) {
dataIn = '';
var licnumber = document.getElementById('ctl00_cntbdy_txt_linum').value;
dataIn = dataIn + '"lnumber":"' + licnumber + '",'
var lastname = document.getElementById('ctl00_cntbdy_txt_lastname').value;
dataIn = dataIn + '"lname":"' + lastname + '",'
var firstname = document.getElementById('ctl00_cntbdy_txt_firstname').value;
dataIn = dataIn + '"fname":"' + firstname + '",'
var lictype = document.getElementById('ctl00_cntbdy_ddllictype').value;
dataIn = dataIn + '"lictype":"' + lictype + '",'
var county = document.getElementById('ctl00_cntbdy_ddl_county').value;
dataIn = dataIn + '"county":"' + county + '"'
dataIn = dataIn + ',"vid":"' + d + '"'
sa5.data = dataIn;
sa5.process();
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function Aftercall() {
cresponse = "";
grecaptcha.reset();
var res = sa5.resultdata;
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//document.getElementById('result').style.display = 'block';
return true;
} else {
document.getElementById('grdlkp').innerHTML = "";
altbox("No records found.");
return false;
}
}
function print_lkp(sender, keyval) {
var License_Type = sa5.resultdata[sender]["License_Type"];
var appid = sa5.resultdata[sender]["Resa"];
if (License_Type == "MD" || License_Type == "DO" || License_Type == "L" || License_Type == "SP") {
window.open('../ABME_Prints/Print_MD_DO_Laspx.aspx?appid=' + appid);
} else if (License_Type == "PA" || License_Type == "TA") {
window.open('../ABME_Prints/Print_PA_TA.aspx?appid=' + appid);
} else if (License_Type == "QACSCPA" || License_Type == "QACSCNP" || License_Type == "QACSC") {
window.open('../ABME_Prints/print_Quality_CSC.aspx?appid=' + appid);
} else if (License_Type == "LPSP") {
window.open('../ABME_Prints/Print_LPSPaspx.aspx?appid=' + appid);
} else if (License_Type == "AA") window.open('../ABME_Prints/Print_AA.aspx?appid=' + appid);
else if (License_Type == "CP") {
window.open('../ABME_Prints/Print_CP.aspx?appid=' + appid);
} else if (License_Type == "RA") {
window.open('../ABME_Prints/Print_RA.aspx?appid=' + appid);
} else window.open('../ABME_Prints/Print_other.aspx?appid=' + appid);
}
function Clear_Search() {
document.getElementById('ctl00_cntbdy_txt_linum').value = "";
document.getElementById('ctl00_cntbdy_txt_lastname').value = "";
document.getElementById('ctl00_cntbdy_txt_firstname').value = "";
document.getElementById('ctl00_cntbdy_ddllictype').value = '-1';
cresponse = "";
grecaptcha.reset();
document.getElementById('ctl00_cntbdy_ddl_county').value = '';
document.getElementById('grdlkp').innerHTML = "";
}
</script>
<input type="hidden" name="ctl00$cntbdy$hfdid" id="ctl00_cntbdy_hfdid" value="0">
<input type="hidden" name="ctl00$cntbdy$hfd_personid" id="ctl00_cntbdy_hfd_personid" value="0">
<input type="hidden" name="ctl00$cntbdy$hfdlicid" id="ctl00_cntbdy_hfdlicid" value="0">
<div style="">
<h2 class="fs-subtitle4">
<ti>ONLINE LICENSE VERIFICATION</ti>
</h2>
<div class="fcontainer">
<div class="body row">
<div class="col-md-12" style="text-align: center; padding: 5px; margin-bottom: 10px; color: #d65353"> ( Please click the Print option to view full details about the license record.) </div>
<div class="row">
<div class="col-md-3 col-sm-6 col-xs-12">
<span>License Type</span>
<select name="ctl00$cntbdy$ddllictype" id="ctl00_cntbdy_ddllictype" class="form-control">
<option value="-1">Select License Type</option>
<option value="1">MD</option>
<option value="2">DO</option>
<option value="3">L</option>
<option value="4">PA</option>
<option value="5">AA</option>
<option value="6">TA</option>
<option value="7">SP</option>
<option value="10">RA</option>
<option value="11">CP</option>
<option value="12">ACSC</option>
<option value="13">QACSC</option>
<option value="14">QACSCNP</option>
<option value="16">LPSP</option>
<option value="17">CPP</option>
<option value="18">PH</option>
<option value="19">ATP</option>
<option value="20">AT</option>
<option value="21">AMCP</option>
</select>
</div>
<div class="col-md-3 col-sm-6 col-xs-12">
<span>License Number</span>
<input name="ctl00$cntbdy$txt_linum" type="text" id="ctl00_cntbdy_txt_linum" class="form-control" placeholder="License Number">
</div>
<div class="col-md-3 col-sm-6 col-xs-12">
<span>Last Name</span>
<input name="ctl00$cntbdy$txt_lastname" type="text" id="ctl00_cntbdy_txt_lastname" class="form-control" placeholder="Last Name">
</div>
<div class="col-md-3 col-sm-6 col-xs-12">
<span>First Name</span>
<input name="ctl00$cntbdy$txt_firstname" type="text" id="ctl00_cntbdy_txt_firstname" class="form-control" placeholder="First Name">
</div>
<div class="col-md-3 col-sm-6 col-xs-12">
<span>County</span>
<select name="ctl00$cntbdy$ddl_county" id="ctl00_cntbdy_ddl_county" class="form-control">
<option value="-1">Select</option>
<option value="1515">Autauga</option>
<option value="1372">Baldwin</option>
<option value="1404">Barbour</option>
<option value="1360">Bibb</option>
<option value="1397">Blount</option>
<option value="1364">Bullock</option>
<option value="1405">Butler</option>
<option value="1516">Calhoun</option>
<option value="1376">Chambers</option>
<option value="1517">Cherokee</option>
<option value="1399">Chilton</option>
<option value="1518">Choctaw</option>
<option value="1395">Clarke</option>
<option value="1359">Clay</option>
<option value="1379">Cleburne</option>
<option value="1401">Coffee</option>
<option value="1378">Colbert</option>
<option value="1398">Conecuh</option>
<option value="1388">Coosa</option>
<option value="1382">Covington</option>
<option value="1519">Crenshaw</option>
<option value="1384">Cullman</option>
<option value="1406">Dale</option>
<option value="1520">Dallas</option>
<option value="1385">DeKalb</option>
<option value="1400">Elmore</option>
<option value="1521">Escambia</option>
<option value="1396">Etowah</option>
<option value="1365">Fayette</option>
<option value="1375">Franklin</option>
<option value="1522">Geneva</option>
<option value="1367">Greene</option>
<option value="1523">Hale</option>
<option value="1524">Henry</option>
<option value="1392">Houston</option>
<option value="1389">Jackson</option>
<option value="1390">Jefferson</option>
<option value="1525">Lamar</option>
<option value="1526">Lauderdale</option>
<option value="1369">Lawrence</option>
<option value="1366">Lee</option>
<option value="1527">Limestone</option>
<option value="1528">Lowndes</option>
<option value="1402">Macon</option>
<option value="1370">Madison</option>
<option value="1393">Marengo</option>
<option value="1368">Marion</option>
<option value="1386">Marshall</option>
<option value="1394">Mobile</option>
<option value="1529">Monroe</option>
<option value="1530">Montgomery</option>
<option value="1403">Morgan</option>
<option value="1362">Out of State</option>
<option value="1380">Perry</option>
<option value="1387">Pickens</option>
<option value="1531">Pike</option>
<option value="1363">Randolph</option>
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Alabama Board of Medical Examiners Medical Licensure Commission of Alabama Home Application Status License Verification Public Log File ONLINE LICENSE VERIFICATION ( Please click the Print option to view full details about the license record.) License Type Select License Type MD DO L PA AA TA SP RA CP ACSC QACSC QACSCNP LPSP CPP PH ATP AT AMCP License Number Last Name First Name County Select Autauga Baldwin Barbour Bibb Blount Bullock Butler Calhoun Chambers Cherokee Chilton Choctaw Clarke Clay Cleburne Coffee Colbert Conecuh Coosa Covington Crenshaw Cullman Dale Dallas DeKalb Elmore Escambia Etowah Fayette Franklin Geneva Greene Hale Henry Houston Jackson Jefferson Lamar Lauderdale Lawrence Lee Limestone Lowndes Macon Madison Marengo Marion Marshall Mobile Monroe Montgomery Morgan Out of State Perry Pickens Pike Randolph Russell Saint Clair Shelby Sumter Talladega Tallapoosa Tuscaloosa Walker Washington Wilcox Winston LICENSE LOOKUP SEARCH CP, QACSCNP or LPSP:: Please note that the Alabama Board of Medical Examiners and the Alabama Medical Licensure Commission have no authority over Nurse Practitioners or Midwives. For more information on these licenses, please visit the Alabama Board of Nursing, www.abn.alabama.gov P.O. Box 946 Montgomery AL 36101-0946 Privacy Policy -------------------------------------------------------------------------------- Close