Osteopathic Licensure Requirements by State

April 2019

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Alabama

Alabama Board of Medical Examiners & Medical Licensure Commission of Alabama

848 Washington Avenue

Montgomery, AL 36104

Phone: (800) 227-2606

Alabama Requirements

Qualifications of applicants.

The following constitute the requirements for the issuance of a certificate of qualification for a

license to practice medicine in this state:

MEDICAL EDUCATION REQUIREMENT.

All applicants for a certificate of qualification shall present a diploma or evidence of graduation

from any of the following institutions:

 A college of medicine or school of medicine accredited by the Liaison Committee on

Medical Education of the American Medical Association.

 A college of osteopathy accredited by the American Osteopathic Association.

 A college of medicine or school of medicine not accredited by the Liaison Committee on

Medical Education which is approved by the Board of Medical Examiners. The board

may, within its discretion, withhold approval of any college of medicine not designated in

either a., or b., above which:

o Has had its accreditation withdrawn by a national or regional accreditation

organization; or

o Has had its authorization, certification, or licensure revoked or withdrawn by a

national or regional governmental supervisory agency; or

o Has been denied approval or has had its approval withdrawn by any national,

state, or territorial licensing jurisdiction based upon an evaluation of the college

of medicine or upon a finding of misconduct by the college; or

o The board has determined, has engaged in fraudulent, criminal, or other practices

which are inconsistent with quality medical education.

POSTGRADUATE EDUCATION REQUIREMENT.

Applicants for a certificate of qualification who graduated from a college of medicine accredited

by the Liaison Committee on Medical Education of the American Medical Association or a

college of osteopathy accredited by the American Osteopathic Association shall present evidence

satisfactory to the board that the applicant has completed one year of postgraduate or residency

training in any of the following programs:

 A program listed in the directory of approved residency training programs published by

the American Medical Association.

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 A program accredited by the American Osteopathic Association.

 A program accredited by the Accreditation Committee of Royal College of Physicians

and Surgeons of Canada.

 A program accredited by the College of Family Physicians of Canada.

All other applicants for a certificate of qualification who graduated from a college of medicine

not accredited by the Liaison Committee on Medical Education of the American Medical

Association or a college of osteopathy not accredited by the American Osteopathic Association

shall present evidence satisfactory to the board that the applicant has completed three years of

postgraduate or residency training in any of the following programs:

 A program listed in the directory of approved residency training programs published by

the American Medical Association.

 A program accredited by the American Osteopathic Association.

 A program accredited by the Accreditation Committee of Royal College of Physicians

and Surgeons of Canada.

 A program accredited by the College of Family Physicians of Canada.

EXAMINATION REQUIREMENTS.

Applicants for a certificate of qualification shall achieve a passing score as determined by the

Board of Medical Examiners on any of the examinations listed below:

 The United States Medical Licensing Examination.

o Applicants who are not dual degree candidates as specified in subparagraph

(3)a.2. below shall have achieved a passing score on Step 3 in not more than three

administrations, except that the board may approve one additional attempt to pass

Step 3 after demonstration by the applicant of additional educational experience

acceptable to the board. Applicants who are not dual degree candidates shall have

passed Steps 1, 2, and 3 within a seven-year period and shall not have attempted

to pass Steps 1, 2, and 3 a combined total of more than 10 times.

o Applicants who are not dual degree candidates as specified in subparagraph

(3)a.2. below and who are currently board certified by one or more of the

specialty boards recognized by the American Board of Medical Specialties or the

American Osteopathic Association shall not be required to pass Steps 1, 2, and 3

in the time period as set forth in subparagraph (3)a.1.(i) above, however, these

applicants shall still be limited to a combined total of 10 attempts to pass Steps 1,

2, and 3 as set forth in subparagraph (3)a.1.(i) above.

Applicants who are dual degree candidates, pursuing the M.D. or D.O. degree and the Ph.D

degree in a field of biological sciences approved by the board in its rules, shall have achieved a

passing score on Step 3 in not more than three administrations, except that the board may

approve one additional attempt to pass Step 3 after demonstration by the applicant of additional

educational experience acceptable to the board. Applicants who are dual degree candidates shall

have completed Steps 1, 2, and 3 within a 10-year period except that the board may approve,

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within its discretion and at the request of the applicant, a longer period not to exceed 15 years.

The time period for completion of Steps 1, 2, and 3 begins when the applicant initially passes his

or her first step. The board shall not accept scores from a reexamination of a previously passed

step of the USMLE.

 The Federation Licensing Examination.

 The National Board of Medical Examiners Examination.

 The National Board of Osteopathic Medical Examiners Examination or its successor

examination.

 The Licensing Medical Council of Canada Examination.

Any other examination which is currently approved or which may later be approved by the

Board of Medical Examiners and which examines in the following branches of medical learning:

General medicine, surgery, obstetrics, gynecology, preventive medicine, jurisprudence, and any

other branches as the board may require.

Beginning January 1, 2000, the following requirements shall apply:

 All applicants for initial licensure by examination shall achieve a passing score, as

determined by the Board of Medical Examiners, on the United States Medical Licensing

Examination or the National Board of Osteopathic Medical Examiners Examination or its

successor examination.

 Applicants by endorsement licensed in another state, the District of Columbia, a territory

of the United States, or a province of Canada who completed any one of the licensing

examinations listed above prior to January 1, 2000, are eligible for licensure upon proof

of a passing score of such examination.

 Applicants by endorsement licensed in another state or the District of Columbia, or a

territory of the United States, or a province of Canada whose licensing examination was

completed after January 1, 2000, shall achieve a passing score, as determined by the

Board of Medical Examiners, on the United States Medical Licensing Examination or the

National Board of Osteopathic Medical Examiners Examination or its successor

examination.

 The board may establish by regulation acceptable combinations of the Federation

Licensing Examination, National Board of Medical Examiners Examination, and/or

United States Medical Licensing Examination through January 1, 2000, in satisfaction of

the examination requirement for a certificate of qualification.

APPLICATION AND EXAMINATION FEE REQUIREMENT.

Payment in advance to the board of the required application fee or examination fee, or both, in

amounts as established in the regulations of the board.

CRIMINAL HISTORY BACKGROUND CHECK.

In addition to other requirements established by law and for the purpose of determining an

applicant's suitability for a certificate of qualification for a license to practice medicine, each

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applicant shall submit to a criminal history background check. Each applicant shall submit a

complete set of fingerprints to the State Board of Medical Examiners. The board shall submit the

fingerprints provided by each applicant for a certificate of qualification for a license to practice

medicine to the Alabama Bureau of Investigation (ABI). The fingerprints shall be forwarded by

the ABI to the Federal Bureau of Investigation (FBI) for a national criminal history record check.

Costs associated with conducting a criminal history background check shall be borne by the

applicant. The State Board of Medical Examiners shall keep information received pursuant to

this section confidential, except that such information received and relied upon in denying the

issuance of a certificate of qualification for a license to practice medicine in this state may be

disclosed as may be necessary to support the denial.

ADDITIONAL REQUIREMENTS FOR EXAMINATION FOR CERTAIN

APPLICANTS.

 All applicants who have not passed a written state licensing examination, the examination

given by the National Board of Medical Examiners, the United States Medical Licensing

Examination, the National Board of Osteopathic Medical Examiners Examination, the

examination given by the Licensing Medical Council of Canada, the Special Purpose

Examination, or the Federation Licensing Examination within 10 years immediately

preceding the date of the application shall either:

o Achieve a passing score on the Special Purpose Examination.

o Be certified by or achieve a passing score on a recertification examination given

by one of the specialty boards approved by the American Board of Medical

Specialties or one of the specialty boards approved by the American Osteopathic

Association within 10 years immediately preceding the date of the application.

 All applicants who graduated from a college of medicine not accredited by the Liaison

Committee of Medical Education or the American Osteopathic Association shall achieve

a certification given by the Education Council for Foreign Medical Graduates.

 Administration of examinations by the board.

o Applicants for a certificate of qualification who are applying for initial licensure

in the State of Alabama, and who meet all qualifications for administration of

Step 3 of the United States Medical Licensing Examination are eligible to take the

United States Medical Licensing Examination in Alabama.

o The following individuals are eligible to take the Special Purpose Examination in

Alabama:

 a. Applicants who are applying for licensure in Alabama who are required

to take the examination under another provision of this section.

 b. Individuals required to take the examination pursuant to an order or

directive of the State Board of Medical Examiners or the Medical

Licensure Commission.

 Any individual eligible to take the Special Purpose Examination pursuant to paragraph a.

or b. of subdivision (2) who has not achieved a passing score within three administrations

shall no longer be eligible to take the Special Purpose Examination.

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Administrative requirements for examination by the board.

 Each applicant shall pay an examination fee as established by the board for each

administration of the required examination. The examination fee is not returnable to an

unsuccessful applicant.

 Examinations administered by the board may be given in Montgomery or at any other

location determined by the board.

 Applicants who are required to take the Special Purpose Examination or the United States

Medical Licensing Examination administered by the board shall, in addition to the other

requirements of this section, be eligible to sit for and take the examination under the rules

established by the organization which created the examination.

 The board may enter into personal service contracts with individuals, firms, or

corporations for the administration of any examination required by this section.

 The board shall keep complete records of all examinations conducted, giving the name,

age, residence, college, date of graduation of the applicant examined, and the results of

the examination. These records shall be open to public inspection.

 The board shall establish by rule or regulation the passing score for all examinations

administered by it under this section

Please visit Alabama Medical Practice Act for more information.

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Alaska

State Medical Board

Division of Corporations, Business & Professional Licensing

P.O. Box 110806

Juneau, AK 99801-0806

Phone: (907) 269-8163

Contact: [email protected]

Alaska Requirements

Sec. 08.64.205. Qualifications for osteopath applicants.

Each osteopath applicant shall meet the qualifications prescribed in AS 08.64.200(a)(3) – (5) and

shall

 submit a certificate of graduation from the legally chartered school of osteopathy

approved by the board;

 submit a certificate from a hospital approved by the American Medical Association or the

American Osteopathic Association that certifies that the osteopath has satisfactorily

completed and performed the duties of intern or resident physician for

o one year if the applicant graduated from a school of osteopathy before January 1,

1995, as evidenced by a certificate of completion of the first year of postgraduate

training from the facility where the applicant completed the first year of internship

or residency; or

o two years if the applicant graduated from a school of osteopathy on or after

January 1, 1995, as evidenced by a certificate of completion of the first year of

postgraduate training from the facility where the applicant completed the first

year of internship or residency and a certificate of successful completion of one

additional year of postgraduate training at a recognized hospital;

 take the examination required by AS 08.64.210 or be certified to practice by the National

Board of Examiners for Osteopathic Physicians and Surgeons or by the National Board of

Osteopathic Medical Examiners;

 receive education in pain management and opioid use and addiction, unless the applicant

has demonstrated to the satisfaction of the board that the applicant does not currently hold

a valid federal Drug Enforcement Administration registration number; an applicant may

include past professional experience or professional education as proof of professional

competence

Please visit Medical Statutes for more information.

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Arizona

Arizona Board of Osteopathic Examiners in Medicine & Surgery

1740 W Adams, Suite 2410

Phoenix, AZ 85007

Phone: (480) 657-7703

Arizona Requirements

32-1822. Qualifications of applicant; application; fingerprinting; fees

 On a form and in a manner prescribed by the board, an applicant for licensure shall

submit proof that the applicant:

o Is the person named on the application and on all supporting documents

submitted.

o Is a citizen of the United States or a resident alien.

o Is a graduate of a school of osteopathic medicine approved by the American

osteopathic association.

o Has successfully completed an approved internship, the first year of an approved

multiple-year residency or a board-approved equivalency.

o Has passed the approved examinations for licensure within seven years of

application or has the board-approved equivalency of practice experience.

o Has not engaged in any conduct that, if it occurred in this state, would be

considered unprofessional conduct or, if the applicant has engaged in

unprofessional conduct, is rehabilitated from the underlying conduct.

o Is physically, mentally and emotionally able to practice medicine, or, if limited,

restricted or impaired in the ability to practice medicine, consents to contingent

licensure pursuant to subsection E of this section or to entry into a program

prescribed in section 32-1861.

o Is of good moral character.

o Beginning September 1, 2017, has submitted a full set of fingerprints to the board

for the purpose of obtaining a state and federal criminal records check pursuant to

section 41-1750 and Public Law 92-544. The department of public safety may

exchange this fingerprint data with the federal bureau of investigation.

 An applicant must submit with the application the nonrefundable application fee

prescribed in section 32-1826 and pay the prescribed license issuance fee to the board at

the time the license is issued.

 The board or the executive director may require an applicant to submit to a personal

interview, a physical examination or a mental evaluation or any combination of these, at

the applicant's expense, at a reasonable time and place as prescribed by the board if the

board determines that this is necessary to provide the board adequate information

regarding the applicant's ability to meet the licensure requirements of this chapter. An

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interview may include medical knowledge questions and other matters that are relevant to

licensure.

 The board may deny a license for any unprofessional conduct that would constitute

grounds for disciplinary action pursuant to this chapter or as determined by a competent

domestic or foreign jurisdiction.

 The board may issue a license that is contingent on the applicant entering into a stipulated

order that may include a period of probation or a restriction on the licensee's practice.

 The executive director may issue licenses to applicants who meet the requirements of this

section.

 A person whose license has been revoked, denied or surrendered in this or any other state

may apply for licensure not sooner than five years after the revocation, denial or

surrender.

 A license issued pursuant to this section is valid for the remainder of the calendar year in

which it was issued, at which time it is eligible for renewal

Please visit Arizona State Legislature for more information.

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Arkansas

Arkansas State Medical Board

1401 West Capitol Avenue, Suite 340

Little Rock, AR 72201-2936

Phone: (501) 296-1802

Contact: [email protected]

Arkansas Requirements

17-91-101. Osteopathic Physician – Licensing Requirementd

 The Arkansas State Medical Board shall accept for licensure by examination any person

who:

o At least 21 years of age

o Is a citizen of the United States

o Is of good moral character

o Has not been guilty of acts defined in the Arkansas Medical Practice Act 17-95-

201.

o Is a graduate of an osteopathic college of medicine whose course of study has

been recognized by the Department of Education of the American Osteopathic

Association

o Has completed a one-year internship in a hospital approved by the American

Medical Association

 Applicants for such a licensure shall pay the fees required by the Arkansas Medical

Practice Act

17-91-102 Examination

 The examination given to the applicant shall be:

o The same examination given to all other applicants for medical licensure

o Given at the same time and place as the examination given to other applicants

o Graded as all other examinations

 The National Board of Osteopathic Medical Examiners develops examinations for

licensure of osteopathic physicians

17-91-103 Effect of Licensing

 The license issued to a person meeting the qualifications set out in this chapter and

successfully passing the examination shall be the same license to practice medicine and

surgery in the state of Arkansas as is regularly issued by the Arkansas State Medical

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Board and shall entitle the holder thereof to practice medicine and surgery in the State of

Arkansas.

Please visit Arkansas Medical Board for more information.

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California

Osteopathic Medical Board of California

1300 National Drive, Suite #150

Sacramento, CA 95834-1991

Phone: (916) 928-8390

Contact: [email protected]

California Requirements

ARTICLE 4. Requirements for Licensure [2080 - 2099]

Except as otherwise provided, the provisions of this article applicable to applications generally

shall apply to all certificates issued.

Every applicant for a physician’s and surgeon’s certificate shall comply with the requirements of

this article unless other specific requirements of this chapter are applicable to a particular class of

applicant.

(Added by Stats. 1980, Ch. 1313, Sec. 2.)

2081.

Each application shall be made upon a form provided by the Division of Licensing, and each

application form shall contain a legal verification to be signed by the applicant verifying under

penalty of perjury that the information provided by the applicant is true and correct and that any

information in supporting documents provided by the applicant is true and correct.

(Amended by Stats. 1986, Ch. 220, Sec. 8. Effective June 30, 1986.)

2082.

Each application shall include the following:

 A diploma issued by an approved medical school. The requirements of the school shall

have been at the time of granting the diploma in no degree less than those required under

this chapter or by any preceding medical practice act at the time that the diploma was

granted. In lieu of a diploma, the applicant may submit evidence satisfactory to the board

of having possessed the same.

 An official transcript or other official evidence satisfactory to the board showing each

approved medical school in which a resident course of professional instruction was

pursued covering the minimum requirements for certification as a physician and surgeon,

and that a diploma and degree were granted by the school.

 Other information concerning the professional instruction and preliminary education of

the applicant as the board may require.

 Proof of passage of the written examinations as provided under Article 9 (commencing

with Section 2170) with a score acceptable to the board.

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 Proof of satisfactory completion of the postgraduate training required under Section 2096

on a form approved by the board.

 An affidavit showing to the satisfaction of the board that the applicant is the person

named in each diploma and transcript that he or she submits, that he or she is the lawful

holder thereof, and that the diploma or transcript was procured in the regular course of

professional instruction and examination without fraud or misrepresentation.

 Either fingerprint cards or a copy of a completed Live Scan form from the applicant in

order to establish the identity of the applicant and in order to determine whether the

applicant has a record of any criminal convictions in this state or in any other jurisdiction,

including foreign countries. The information obtained as a result of the fingerprinting of

the applicant shall be used in accordance with Section 11105 of the Penal Code, and to

determine whether the applicant is subject to denial of licensure under the provisions of

Division 1.5 (commencing with Section 475) and Section 2221.

Please visit California Legislative Information for more information.

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Colorado

Colorado Medical Board

1560 Broadway, Suite 1350

Denver, CO 80202

Phone: (303) 894-7690

Contact: [email protected]

Colorado Requirements

Colorado statutes (Section 12-36-107) set forth minimum qualifications for physician licensure.

These requirements include:

 proof of graduation from medical school, passage of nationally recognized exams,

 satisfactory completion of postgraduate education, and submission of reference letters

from previous practice locations.

 CMB staff verifies the license status of new applicants, search for disciplinary action

taken by other state agencies, federal agencies and medical boards, and then forward the

applications to the Board for review.

 The CMB uses this information to carefully screen physicians seeking licensure in

Colorado. In the opinion of the Board, it is much easier, effective, and beneficial to the

public to refuse an applicant who does not meet these criteria or possesses uncertain

training or competence, than it is to later remove the license due to poor medical practice.

 The vast majority of applicants, however, are approved by the Board and licensed within

60 days of receipt of their application materials. The Board licenses 800 to 1,000 new

physicians each year.

 The Medical Board does NOT routinely grant waivers of the postgraduate training

requirement. Only under very special and well documented circumstances will the

candidate for licensure be presented to the Board for consideration if all requirements are

not met. Please contact a licensing specialist for additional information on this topic.

Please visit Colorado Medical Board for more information.

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Connecticut 
Connecticut Department of Public Health 
Practitioner Licensing & Investigations Section 
410 Capitol Avenue, MS# 12 APP 
P.O. Box 3403087 
Hartford, CT 06134-0308 
 
Phone: (860) 509-7603 
 
Contact: [email protected] 
 
Connecticut Requirements 
In order to be eligible for Connecticut physician licensure, all applicants must have:   
  Graduated with the M.D. or D.O. degree from a medical school accredited by the Liaison 
Committee on Medical Education (LCME) or the American Osteopathic Association 
(AOA); 
  Completed at least two (2) years of progressive, post-graduate medical training as a 
resident physician in a program accredited by the Accreditation Council for Graduate 
Medical Education (ACGME) or the American Osteopathic Association (AOA); 
  Successfully completed one of the following examinations:   
o  A State Board Licensing examination completed prior to June 1, 1979; 
o  United States Licensing Examination ( USMLE); 
o  National Board of Medical Examiners (NBME); 
o  Federation Licensing Examination (FLEX); 
o  National Board of Osteopathic Medical Examiners (NBOME); 
o  The examination required to become registered as a Licentiate of the Medical 
Council of Canada  (LMCC); or   
o  An acceptable combination as outlined below if completed prior to 2000:   
NBME Part I or USMLE Step 1 
plus 
NBME Part II or USMLE Step 2 
 plus 
NBME Part III or USMLE Step 3   
  
FLEX Component 1 
plus 

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USMLE Step 3

NBME Part I or USMLE Step 1

plus

NBME Part II or USMLE Step 2

plus

Flex Component 2

 Applicants who have completed the FLEX (Components 1 and 2) must have obtained a

passing score of 75 on each component. Applicants who have completed the FLEX (Day

1, 2 and 3) must have obtained a FLEX-weighted average of 75. Part(s) of the NBOME

plus segment(s) of FLEX or USMLE are not acceptable combinations for Connecticut

licensure.

An applicant for licensure shall arrange for the submission of following documentation directly

from the source:

 A completed application and fee in the amount of $569.75. Applications are only

accepted online. Please select this link to apply online;

 Please note that $4.75 of the application fee covers the Department’s cost for querying

the National Practitioner Data Bank;

 An official transcript of medical education verifying the award of an M.D. or D.O. degree

forwarded directly to this office from the educational institution*;

 Verification of completion of at least two (2) years of progressive, post-graduate

residency training submitted directly from the Chief of Staff/Program Director of the

residency program(s). Please select this link for the required form*;

 An official transcript of examination scores forwarded directly to this office from the

examination entity*;

 Verification of any other state licenses held, current or expired, submitted directly to this

office from the source. Please contact the other state board first as a fee may be

required to complete the form (see this link for the required form);

* FEDERATION CREDENTIALS VERIFICATION SERVICE

 The documentation requirements as identified with an asterisk above may be satisfied by

the submission of an official FCVS report submitted directly to this office. This is a

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voluntary program established by the Federation of State Medical Boards. The

Department reserves the right to reject any or all portions of the documentation

provided.

Please visit Department of Public Health for more information.

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Delaware

Board of Medical Licensure and Discipline

Cannon Building, Suite 203

861 Silver Lake Blvd.

Dover, DE 19904

Phone: (302) 744-4500

Contact: [email protected]

Delaware Requirements

3.0 Licensure by Examination

All candidates for licensure by examination are required to pass the USMLE, National Boards,

FLEX or SPEX as outlined below:

 3.1 FLEX Examination:

o 3.1.1 If FLEX was taken before June, 1985 applicant must have successfully passed

a FLEX examination (Component 1 and Component 2) and have attained a passing

score of a weighted average of seventy-five (75). After June, 1985 a passing score

of 75 must have been obtained on Component 1 and Component 2.

o 3.1.2 LCME is the equivalent to FLEX Component 1 and 2.

 3.2 USMLE Examination:

o 3.2.1 The USMLE is designed to supersede and replace the FLEX and the National

Boards. If completed prior to the year 2000 acceptable combinations are acceptable

with a score of 75:

 3.2.1.1 National Board Part I or USMLE Part 1 and

 3.2.1.2 National Board Part II or USMLE Part 2 and

 3.2.1.3 National Board Part III or USMLE Part 3

 3.2.1.4 FLEX Component 1 and USMLE Step 3

 3.2.1.5 National Board Part 1 and USMLE Step 1 and

 3.2.1.6 National Board Part 11 and USMLE Step 2 and

 3.2.1.7 FLEX Component 2

o 3.2.2 Passing Step 1, Step 2, and Step 3 of the examination must occur within 7

years. There shall be no more than six attempts to pass each Step without

demonstration of additional experience acceptable to the Board.

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 3.3 Certain persons licensed in other states: Doctors with valid state licenses by

examination from other jurisdictions may be licensed at the discretion of the Board if this

examination took place before January, 1973.

Please visit Board of Medical Licensure & Discipline for more information.

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Florida

Board of Osteopathic Medicine

4052 Bald Cypress Way Bin C-06

Tallahassee, FL 32399-3257

Phone: (850) 245-4161

Florida Requirements

General Licensure Requirements:

• Graduation from an osteopathic medical school approved by the American Osteopathic

Association (AOA).

• Successful completion of a 12-month rotating internship approved by the AOA or successful

completion of a residency approved by the Board upon a showing of good cause by the applicant

(see Rule 64B15-16.002, F.A.C.).

• Must pass all three (3) parts of the National Board of Osteopathic Medical Examiners (NBOME)

exam within 5 years of application or licensure in another state, or a substantially similar exam

approved by the Board. The Board does not consider the USMLE or FLEX exams to be

comparable to the NBOME.

• If licensed in another state, have actively and continuously engaged in the practice of osteopathic

medicine for the period time after being initially licensed with interruption to practice totaling no

more than 2 years (or for a longer period of time if the Board determines that the interruption of

the osteopathic physician’s practice has not adversely affected the physician’s present ability and

fitness to practice osteopathic medicine).

• Meet all general licensure requirements set forth in 459.0055, F.S. relating to character, age, past

discipline, etc.

• File a completed application and pay all required fees. Refer to application instructions for a list

of specific documents and information needed.

Examination Requirements and Information:

 Anyone applying for licensure must have passed all three parts of the examination

conducted by the National Board of Osteopathic Medical Examiners (NBOME) or other

substantially similar examination approved by the board.

 If you have not taken and passed all three parts of the exam offered by the NBOME, you

must demonstrate to the Board that the exam you did pass is substantially similar to all

three parts of the NBOME. The board does not consider the FLEX or USMLE exams to be

substantially similar to the NBOME as neither of these exams has an osteopathic

component or osteopathic philosophies generally incorporated into the questions. If you

have taken parts I and II of the NBOME exam you may satisfy part III of the exam by

passing the COMVEX exam offered by the NBOME. For more information about the

NBOME click here: https://nbome.org/

 If you were licensed in another state on the basis of that state’s licensure exam, you may

request the Board endorse those exam scores. It is the applicant’s responsibility to

demonstrate to the Board that the state licensing exam is substantially similar to all three

parts of the NBOME. You will need to request the state Board which administered the

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exam to send an official copy of your scores and a letter verifying that your license in that

state was issued on the basis of the state exam. The more information you can provide

regarding the exam, the better the chances the Board can determine the exam to be

substantially similar to the NBOME. At the very least, the following information MUST

be provided:

o The number of questions the exam contained

o The subjects the exam tested;

o Who or what entity created the exam;

o Whether there was an osteopathic component and emphasis;

o When was the exam administered and endorsed.

Please visit Board of Osteopathic Medicine for more information.

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Georgia

Georgia Composite Medical Board

2 Peachtree Street, NW 6

Floor

Atlanta, Georgia 30303-3465

Phone: (4040 656-3913

Contact: [email protected]

Georgia Requirements

Rule 360-2-.01 Requirements for Licensure

An applicant for a medical license must provide:

 An affidavit that the applicant is a U.S. citizen, a legal permanent resident of the U.S. or

that he/she is a qualified alien or non-immigrant under the Federal immigration &

Nationality Act

 An application that is complete, including all required documentation, signatures, seals and

fees.

 Evidence of good moral character. Reference forms shall be valid for 6 months from the

date of signature.

 Verification of licensure from every state on which the applicant has ever held a medical

license

 Verification of a passing score on one of the following examinations approved by the

Board:

o Steps 1,2, & 3 of the U.S. Medical Licensing Examination (USMLE)

o Federation Licensing Examination (FLEX)

o FLEC Components I & II

o National Board of Medical Examiners (NBME)

o State Medical Board Examinations

o Medical Council of Canada Qualifying Examination (MCCQE) for graduates of

Canadian medical school who completed post-graduate training in Canada

o National Board of Osteopathic Medical Examiners (NBOME)

o Comprehensive Osteopathic Medical Licensing Examination (COMLEX)

o The Certifying examination of the Puerto Rico Medical Board, for graduates of

Puerto Rican medical school who completed post-graduate training in Puerto Rico.

 Verification of medical education by submitting an official transcript of all medical

education directly to the boar from the school where such education was taken.

o Transcript shall include the dates the applicant attended the school and the grades

received in all courses taken to fulfill the requirements of the degree granted.

 Verification of post-graduate/residency training as follows:

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o Graduated of approved medical schools must show completion of 1 year

postgraduate training in a program approved by the Accreditation Council for

Graduate Medical Education (ACGME), the American Osteopathic Association

(AOA) or the Royal College of Physicians & Surgeons of Canada (RCPSC) or the

College of Family Physicians of Canada (CFPC).

 Verification of residence in the U.S. for one year

 The Board in its discretion may require an applicant for licensure to take and pass the

Special Purposed Examination (SPEX) prepared by the Federation of State Medical Board

of the U.S., or other Board-approved competency assessment.

Please visit Rules and Regulation of the State of Georgia for more information.

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Hawaii

Hawaii Medical Board

P.O. Box 3469

Honolulu, HI 96801

Phone: (808) 586-2699

Contact: [email protected]

Hawaii Requirements

§16-93-2 General requirements.

 An application filed with the board shall be prepared in accordance with and contain the

information called for in the application form prescribed by the board, or any instructions

which may be issued by the board.

 the applicant may be licensed by any of the following means:

o By examination;

o By endorsement; and,

o By reciprocity.

 The applicant shall submit the following with the application:

o Verification of a Doctor of Osteopathy diploma from an AOA approved

institution;

o Verification of a Certificate of Completion of an osteopathic internship from an

AOA approved hospital or medical facility;

o Certificate of Competency from two licensed osteopathic physician and surgeon;

o Recent passport-sized photograph of the applicant; and

o Verification of any specialty postdoctoral awards. [Eff 8/15/64; ren 2.1, 8/7/70;

am and ren §16-93-2, 7/2/81; am and comp 2/4/83; am and comp 2/9/90] (Auth:

HRS §460-4) (Imp: HRS §460-6)

§16-93-3 Application for license by examination

 In addition to the requirements of section 16-93-2(c), an applicant for license by

examination shall comply with the requirements of this section.

 The applicant shall submit verification of eligibility for meeting the requirements of the

American Osteopathic Association (AOA) toward a certificate from the National Board

of Osteopathic Medical Examiners, Inc., (NBOME). The evidence of eligibility shall

verify that the applicant meets the following:

o Evidence of a passing grade on the examination given by the NBOME or by the

Federation of State Medical Board of the United States, Inc., (FLEX). The passing

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score for the NBOME and FLEX is a score of 75 or more for each part of

component; and

o Verification of any other osteopathic licenses held in other jurisdictions. [Eff

8/15/64; am and ren 2.2, 8/7/70; am and ren §16-93-3, 7/2/81; am and comp

2/4/83; am and comp 2/9/90] (Auth: HRS §460-4) (Imp: HRS §460-4)

Please visit Department of Commerce and Consumer Affairs for more information.

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Idaho

Idaho Board of Medicine

Logger Creek Plaza

345 Bobwhite Ct, Suite 150

Boise, ID 83706

Phone: (208) 327-7000

Contact: [email protected]

Idaho Requirements

54-1810. LICENSURE BY WRITTEN EXAMINATION.

Any person seeking to be licensed to practice medicine and surgery or osteopathic medicine or

osteopathic medicine and surgery in this state must successfully complete the following

requirements before a license will be issued:

 Each applicant must submit a completed written application to the board on forms

furnished by the board which shall require proof of graduation from a medical school

acceptable to the board and successful completion of a postgraduate training program

acceptable to the board. The application shall require a fingerprint-based criminal history

check of the Idaho central criminal database and the federal bureau of investigation

criminal history database. Each applicant must submit a full set of the applicant’s

fingerprints on forms supplied by the board which shall be forwarded to the Idaho state

police and the federal bureau of investigation identification division for this purpose or for

the purpose of qualifying an applicant for an expedited license as the state of principal

license as provided in section 54-1847, Idaho Code. The board shall not disseminate data

acquired from a fingerprint-based criminal history check except as allowed by law.

 Each applicant must pass an examination conducted by or acceptable to the board which

shall thoroughly test the applicant’s fitness to practice medicine. If an applicant fails to

pass the examination on two (2) separate occasions, he shall not be eligible to take the

examination for at least one (1) year, and before taking the examination again, he must

make a showing to the board that he has successfully engaged in a course of study for the

purpose of improving his ability to engage in the practice of medicine. Applicants who fail

two (2) separate examinations in another state, territory, or district of the United States or

Canada, must make the same showing of successful completion of a course of study prior

to examination for licensure.

 The board may require an applicant to be personally interviewed by the board or a

designated committee of the board. Such an interview shall be limited to a review of the

applicant’s qualifications and professional credentials.

Please visit Idaho Statutes for more information.

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Illinois

Illinois Department of Financial & Professional Regulation

100 West Randolph, 9

Floor

Chicago, IL 60601

Phone: (888) 476-4858

Illinois Requirements

Section 1285.70 Application for a License on the Basis of Examination

Each applicant for a license to practice medicine in all of its branches on the basis of examination

must submit to the Division:

 A fully completed application signed by the applicant, on which all questions have been

answered and all programs of medical education attended by the applicant have been

identified, including dates of attendance;

 Proof that the applicant is of good moral character. Proof shall be an indication on the

application that the applicant has not engaged in any conduct or activities that would

constitute grounds for discipline under Section 22 of the Act. Applications of individuals

who answer affirmatively to any question on the personal history portion of the application

or who have engaged in activities that would constitute grounds for discipline shall be

forwarded to the Enforcement Division of the Division of Professional Regulation for

further investigation and action by the Medical Licensing Board as provided in Section

9(B)(4) of the Act;

 An official transcript of a course of instruction in a college, university or other institution

as required by Section 1285.20(a);

 Fee as required by Section 21 of the Act;

 An official transcript and diploma or an official transcript and certification of graduation

from the medical education program granting the degree that shall be evidence that the

applicant has met the minimum medical education requirements of the Act;

 Certification on forms provided by the Division that the core clerkship rotations were

completed in accordance with Section 1285.20 and proof of current ECFMG certification

as set forth in Section 1285.20(k) for those applicants who are applying under Section

11(A)(2)(a) of the Act;

 Proof of satisfactory completion of an approved program of clinical training in accordance

with Section 1285.40;

 Proof of the successful completion of the examination set forth in Section 1285.60. Scores

shall be submitted to the Division directly from the testing entity;

 A certification from the jurisdiction of original licensure and current licensure stating:

o The date of issuance of the license; and

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o Whether the records of the licensing authority contain any record of disciplinary

action taken or pending;

 Documentation of professional capacity, as set forth in Section 1285.95, for applicants who

have not been engaged in the active practice of medicine or have not been enrolled in a

medical program for 2 years prior to application; and

 Verification of fingerprint processing from the Illinois Department of State Police (ISP),

an ISP live scan vendor whose equipment has been certified by ISP, or a fingerprint vendor

agency licensed by the Division. Out-of-state residents unable to utilize the ISP electronic

fingerprint process may submit to ISP one fingerprint card issued by ISP, accompanied by

the fee specified by ISP. Fingerprints shall be taken within the 60 days prior to application.

If an applicant for licensure as a physician to practice medicine in all of its branches has a Profile

from the Federation Credentials Verification Service of the Federation of State Medical Boards of

the United States, Inc., the applicant will be required to submit the following:

 A Physician Information Profile that includes, but is not limited to, verification of medical

education, ECFMG Certification (if applicable), clinical training and complete

examination information. The information contained in the applicant's Profile shall be

reviewed by the Division in order to determine if the applicant meets the requirements for

licensure as set forth in the Act and this Part;

 A fully completed Illinois medical application, on forms provided by the Division, signed

by the applicant, on which all questions have been answered;

 Proof that the applicant is of good moral character. Proof shall be an indication on the

Illinois application that the applicant has not engaged in any conduct or activity that would

constitute grounds for discipline under Section 22 of the Act. Applications of individuals

who answer affirmatively to any question on the personal history portion of the application

or who have engaged in activities that would constitute grounds for discipline shall be

forwarded to the Enforcement Division of the Division of Professional Regulation for

further investigation and action by the Medical Licensing Board as set out in Section

9(B)(4) of the Act;

 An official transcript of a course of instruction in a college, university or other institution

as required by Section 1285.20(a);

 Individuals applying under Section 11(A)(2)(a)(i) of the Act shall also submit certification,

on forms provided by the Division, that the core clerkship rotations were completed in

accordance with Section 1285.20 of this Part;

 Documentation of professional capacity, as set forth in Section 1285.95, for applicants who

have not been engaged in the active practice of medicine or have not been enrolled in a

medical program for 2 years prior to application;

 A certification from the jurisdiction of original licensure and current licensure stating:

o The date of issuance and status of the license; and

o Whether the records of the licensing authority contain any record of disciplinary

action taken or pending;

 Fees as required by Section 21 of the Act; and

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 Verification of fingerprint processing from ISP, an ISP live scan vendor whose equipment

has been certified by ISP, or a fingerprint vendor agency licensed by the Division. Out-of-

state residents unable to utilize the ISP electronic fingerprint process may submit to ISP

one fingerprint card issued by ISP, accompanied by the fee specified by ISP. Fingerprints

shall be taken within the 60 days prior to application.

Proof of Waiver

 The provisions of subsection (a)(8) shall be waived for a candidate for licensure to practice

medicine in all of its branches who makes application satisfactory to the Division under

Section 9 of the Act who submits proof of the successful completion of:

o the National Board of Medical Examiners examination subsequent to January 1,

1964; or

o the National Board of Examiners for Osteopathic Physicians and Surgeons

examination subsequent to June 1, 1973; or

o the Federation Licensing Examination (FLEX) in another state obtaining a FLEX

weighted average of 75 or more subsequent to June 1, 1968; or

o the Licentiate of the Medical Council of Canada examination (LMCC) subsequent

to May 1, 1970; or

o The Federation Licensing Examination (FLEX) in another state obtaining a score

of 75 or more in each Component in accordance with Section 1285.60.

 Verification of the successful completion of the examinations described in subsection

(c)(1) shall show the scores achieved by the applicant on the examination. Scores shall be

submitted to the Division directly from the testing entity.

Each applicant for a license to practice as a chiropractic physician must submit to the Division:

 A fully completed application signed by the applicant, on which all questions have been

answered and all programs of chiropractic education attended by the applicant have been

identified, including dates of attendance;

 An official transcript of a course of instruction, prerequisite to professional training in a

college, university or other institution for those applying pursuant to Section 11(B)(2) of

the Act;

 An official transcript and copy of diploma or official transcript and certification of

graduation from the education program granting the professional degree; the transcript

shall indicate that the applicant has met the minimum chiropractic education requirements

of Section 11 of the Act;

 Proof that the applicant is of good moral character and has not engaged in any conduct or

activities that would constitute grounds for discipline under Section 22 of the Act.

Applications of individuals who answer affirmatively to any question on the personal

history portion of the application or who have engaged in activities that would constitute

grounds for discipline shall be forwarded to the Enforcement Division of the Division of

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Professional Regulation for further investigation and action by the Medical Licensing

Board as provided in Section 9(B)(4) of the Act;

 Fee as required by Section 21 of the Act;

 Proof of successful completion of Part I, Part II, Part III and Part IV of the examination

pursuant to Section 1285.60(b) forwarded directly to the Division from the National Board

of Chiropractic Examiners;

 Documentation of professional capacity, as set forth in Section 1285.95, for applicants who

have not been engaged in the active practice of medicine or have not been enrolled in a

medical program for 2 years prior to application;

 Certification from the jurisdiction of original licensure and current licensure stating:

o The date of issuance of the license; and

o Whether the records of the licensing authority contain any record of disciplinary

action taken or pending; and

 Verification of fingerprint processing from ISP, an ISP live scan vendor whose equipment

has been certified by ISP, or a fingerprint vendor agency licensed by the Division. Out-of-

state residents unable to utilize the ISP electronic fingerprint process may submit to ISP

one fingerprint card issued by ISP, accompanied by the fee specified by ISP. Fingerprints

shall be taken within the 60 days prior to application.

When the accuracy of any submitted documentation or the relevance or sufficiency of the course

work or training is questioned by the Division or the Medical Licensing Board because of lack of

information, discrepancies or conflicts in information given, or a need for clarification, the

applicant seeking licensure shall be requested to:

 Provide information as may be necessary; and/or

 Appear for an interview before the Licensing Board to explain the relevance or sufficiency,

clarify information or clear up any discrepancies or conflicts in information.

Within 60 days after issuance of the license, the physician shall complete a physician profile in

accordance with Section 1285.305.

Please visit Illinois Administrative Code for more information.

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Indiana

Indiana Professional Licensing Agency

402 West Washington Street

Indianapolis, IN

Phone: (317) 232-2960

Indiana Requirements

MINIMUM REQUIREMENTS TO APPLY FOR A LICENSE

 The applicant must not have a conviction for a crime that has a direct bearing on the

applicant’s ability to practice competently.

 Possess the degree of doctor of medicine or doctor of osteopathy from a Board approved

medical school.

 Successfully passed the examination for licensure.

 Physically and mentally capable of, and professionally competent to, safely engage in the

practice of medicine or osteopathic medicine. The Board may request an applicant to

undergo an examination to determine such capability. The Board may also consider any

malpractice settlements or judgments against the applicant.

 The applicant shall not have had disciplinary action taken against the applicant by another

licensing agency based on the applicant’s inability to safely practice medicine.

 Submission of transcripts and diplomas from all medical schools, with translations if

needed.

 Completion of 1 year of approved postgraduate training for U.S./Canadian graduates, and

2 years of approved postgraduate training for international medical graduates.

Please visit Indiana Professional Licensing Agency for more information.

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Iowa

Iowa Board of Medicine

400 SW 8

Street, Suite C

Des Moines, IA 50309

Phone: (515) 281-5171

Contact: [email protected]

Iowa Requirements

653—9.3(147,148) Eligibility for licensure.

Requirements. To be eligible for permanent or administrative medicine licensure, an applicant

shall meet all of the following requirements:

a. Fulfill the application requirements specified in rule 653—9.4(147,148).

b. Hold a medical degree from an educational institution approved by the board at the time the

applicant graduated and was awarded the degree.

(1) Educational institutions approved by the board shall be fully accredited by an accrediting

agency recognized by the board as schools of instruction in medicine and surgery or osteopathic

medicine and surgery and empowered to grant academic degrees in medicine.

(2) The accrediting bodies currently recognized by the board are: 1. LCME for the educational

institutions granting degrees in medicine and surgery; and 2. AOA for educational institutions

granting degrees in osteopathic medicine and surgery.

(3) If the applicant holds a medical degree from an educational institution not approved by the

board at the time the applicant graduated and was awarded the degree, the applicant shall meet one

of the following requirements:

1. Hold a valid certificate issued by ECFMG;

2. Pass the MCCEE;

3. Have successfully completed a fifth pathway program established in accordance with AMA

criteria;

4. Have successfully passed either a basic science examination administered by a United States or

Canadian medical licensing authority or SPEX; and have successfully completed three years of

resident training in a program approved by the board; and have submitted evidence of five years

of active practice without restriction as a licensee of any United States or Canadian jurisdiction;

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5. Have successfully passed either a basic science examination administered by a United States or

Canadian medical licensing authority or SPEX; and hold board certification by a specialty board

approved by ABMS or AOA; and submit evidence of five years of active practice without

restriction as a licensee of any United States or Canadian jurisdiction.

c. Have successfully completed one year of resident training in a hospital-affiliated program

approved by the board at the time the applicant was enrolled in the program. An applicant who is

a graduate of an international medical school shall have successfully completed 24 months of such

training.

(1) For those required to have 12 months of training, the program shall have been 12 months of

progressive training in not more than two specialties and in not more than two programs approved

for resident training by the board. For those required to have 24 months of training, the program

shall have been 24 continuous months of progressive training in not more than two specialties and

in not more than two programs approved for resident training by the board.

(2) Resident training approved by the board shall be accredited by an accrediting agency

recognized by the board for the purpose of accrediting resident training programs.

(3) The board approves resident training programs accredited by: 1. ACGME; 2. AOA; 3. RCPSC;

and 4. CFPC.

(4) The board shall accept each 12 months of practice as a special licensee as equivalent to one

year of resident training in a hospital-affiliated program approved by the board.

(5) The board may accept a current, active ABMS or AOA board certification obtained through an

alternate pathway as equivalent to resident training in a hospital-affiliated program approved by

the board. The alternate pathway must be a minimum of 24 months completed at an institution

with a program approved by the board as specified in subparagraph 9.3(1)“c”(3).

d. Pass one of the licensure examinations or combinations as prescribed in rule 653—9.7(147,148).

a. A military service applicant or a veteran may apply for credit for verified military education,

training, or service toward any experience or educational requirement for permanent licensure

under this subrule or may be eligible for permanent licensure through reciprocity as specified in

653—Chapter 18. b. A physician who holds a valid Letter of Qualification asserting eligibility for

licensure through the IMLC is eligible for a permanent Iowa medical license.

Please visit Iowa Legislature for more information.

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Kansas

Kansas State Board of Healing Arts

800 SW Jackson, Lower Level- Suite A

Topeka, KS 66612

Phone: (785) 296-7413

Contact: [email protected]

Kansas Requirements

65-2873. License to practice healing arts by examination; prerequisites; postgraduate study;

use of title and degree.

 Each applicant for a license by examination to practice any branch of the healing arts in

this state shall:

o Present to the board evidence of proficiency in the basic sciences issued by the

national board of medical examiners, the board of examiners of osteopathic

physicians and surgeons or the national board of chiropractic examiners or such

other examining body as may be approved by the board or in lieu thereof pass such

examination as the board may require in the basic science subjects;

o present proof that the applicant is a graduate of an accredited healing arts school or

college; and

o pass an examination prescribed and conducted by the board covering the subjects

incident to the practice of the branch of healing art for which the applicant applies.

 Any person seeking a license to practice medicine and surgery shall present proof that such

person has completed acceptable postgraduate study as may be required by the board by

regulations.

 The board may authorize an applicant who does not meet the requirements of paragraph

(2) of subsection (a) to take the examination for licensure if the applicant:

o Has completed three years of postgraduate training as approved by the board;

o is a graduate of a school in which the graduates have been licensed in another state

or states which has standards similar to Kansas; and

o meets all other requirements for taking the examination for licensure of the Kansas

healing arts act.

 In addition to the examination required under paragraph (3) of subsection (a), if the

applicant is a foreign medical graduate the applicant shall pass an examination given by

the educational commission for foreign medical graduates.

 No person licensed to practice and actively engaged in the practice of the healing arts shall

attach to such person’s name any title, or any word or abbreviation indicating that such

person is a doctor of any branch of the healing arts other than the branch of the healing arts

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in which such person holds a license but shall attach to such person’s name the degree or

degrees to which such person is entitled by reason of such person’s diploma.

Please visit Statutes & Regulations for more information.

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Kentucky

Kentucky Board of Medical Licensure

310 Whittington Parkway, Suite 1B

Louisville, KY 40222

Phone: (502) 429-7150

Kentucky Requirements

Requirements for Medical/Osteopathic Licensure in Kentucky

1. All applicants’ must be a graduate from a medical school approved by the Board. All medical

schools located in the United States and Canada approved by the Liaison Committee on Medical

Education (LCME) or the Canadian Medical Association are approved by the Board. Medical

education obtained outside the United States or Canada is evaluated by the Board on an individual

basis and must be listed in the World Health Organization directory of medical schools.

2. All applicants must complete a minimum of two (2) years post-graduate residency training

approved by the Accreditation Council for Graduate Medical Education (ACGME), the American

Osteopathic Association, or the National Joint Committee on Accreditation of Pre-registration

Physician Training Programs.

3. All applicants must provide written proof that he/she has received a passing score on an

examination approved by the Board as long as the applicant obtains a passing score within four (4)

attempts for each Step, Part, Component, or Level. The following examinations are acceptable:

• USMLE Steps 1, 2, 3

• NBME Parts 1, 2, 3

• NBOME Parts 1, 2, 3

• COMLEX Levels 1, 2, 3

• FLEX Component 1 and Component 2 (75 or above on each component)

• FLEX taken in one sitting with a FLEX weighted average of 75 or above

• State Board Exam if taken prior to 1972 with overall average of 75 or above in one sitting

4. All applicants being endorsed must be in good standing with their original licensing state.

5. International medical graduates must possess permanent ECFMG certification or written proof

of being a diplomat of an approved American specialty board.

6. All applicants must be able to understandably speak, read, and write the English language.

Please visit Kentucky Board of Medical Licensure for more information.

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Louisiana

State Board of Medical Examiners

630 Camp Street

New Orleans, LA 70130

Phone: (504) 599-0503

Contact: [email protected]

Louisiana Requirements

Qualifications for Licensure - U.S./Canadian Graduates

 Be at least 21 years of age and of good moral character;

 Be a citizen of the United States or possess valid and current legal authority to reside and

work in the United States duly issued by the commissioner of the Immigration and

Naturalization Service;

 Possess a Doctor of Medicine degree duly issued by a medical school approved by the

Board. The diploma must be in English.If not, must be accompanied by a certified

translation into English;

 Completed a year of ACGME approved internship training in the United States or Canada;

 Have taken and passed either the state board examination, National Boards Parts 1, 2, and

3, FLEX, USMLE, COMLEX-USA, NBOME or a combination thereof. (There is no limit

on step 1, four on Step 2 and four on step 3).

 If a medical competency examination has not been taken within 10 years of application,

the applicant must be board certified or re-certified through the American Board of Medical

Specialties or the American Osteopathic Association within the past ten years or the

applicant must take and pass SPEX (Special Purpose Examination) administered through

the Federation of State Medical Boards, Inc or COMVEX-USA administered by the

National Board of Osteopathic Examiners.

Please visit State Board of Medical Examiners for more information.

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Maine

Maine Board of Osteopathic Licensure

142 State House Station

Augusta, ME 04333-0142

Phone: (207) 287-24800

Contact: [email protected]

Maine Requirements

§2571. Licensure; qualifications; fees

An individual, before engaging in the practice of osteopathic medicine in this State, shall make

application for a license to the board, on a form prescribed by the board. The application must be

filed with the board at least 60 days before the date of examination together with a fee of not more

than $525. The applicant shall present a diploma granted by a school or college of osteopathic

medicine approved by the American Osteopathic Association. That applicant shall present

evidence of having completed an internship of at least 12 months in a hospital conforming to the

minimal standards for accreditation by the American Osteopathic Association, or the equivalency,

as determined by the board. All applicants shall provide reasonable and proper facts as the board

in its application may require. The board at its discretion may permit an applicant, who is otherwise

qualified to be examined during internship, a license to be withheld until successful completion of

internship. [2001, c. 492, §1 (AMD).]

All fees set in this chapter are nonrefundable application fees or administrative processing fees

payable to the board at the time of application or at the time board action is requested. Unless

otherwise specified, the board shall set the fees. [1991, c. 425, §2 (NEW).]

An applicant may not be licensed unless the board finds that the applicant is qualified and that no

cause exists, as set forth in section 2591-A, that would be considered grounds for disciplinary

action against a licensed physician.

Please visit maine Board of OSteopathic Licensure for more information.

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Maryland

Maryland Board of Physicians

4201 Patterson Avenue

Baltimore, Maryland 21215

Phone: (410) 764-4777

Contact: [email protected]

Maryland Requirements

.03 Licensure — Qualifications for Initial Licensure.

A. Moral Character. The applicant shall be of good moral character.

B. Age. The applicant shall be 18 years old or older.

C. Fee. An applicant for initial licensure shall pay the initial application fee and any additional

charges set by the Board.

D. Education and Training. The applicant shall meet at least one of the following requirements:

(1) Have a doctor of medicine degree from a school of medicine accredited by LCME at

the time of the applicant's graduation and have successfully completed 1 year of

postgraduate training at an accredited training program;

(2) Have a doctor of osteopathy degree from a school of osteopathy in the United States,

its territories or possessions, Puerto Rico, or Canada that has standards for graduation

equivalent to those established by the American Osteopathic Association (AOA) and have

successfully completed 1 year of postgraduate training at an accredited training program;

(3) Have a doctor of medicine degree from any other medical school, have successfully

completed the requirements for and obtained ECFMG certification, and have successfully

completed 2 years of post-graduate training at an accredited training program; or

(4) Have a document stating that the applicant has successfully completed a fifth pathway

program as defined in Health Occupations Article, §14-308(a)(2), Annotated Code of

Maryland, have successfully completed all of the formal graduation requirements of a

foreign medical school except for the postgraduate or social service components as

required by the foreign country or its medical school, and have successfully completed 2

years of postgraduate training at an accredited training program.

E. On a case-by-case basis, the Board may consider full-time teaching in an LCME-accredited

medical school in the United States as an alternative to the accredited postgraduate clinical medical

education programs required in §D of this regulation.

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F. The Board may consider practice in another state of the United States or in Canada as an

alternative to the accredited postgraduate clinical medical education program required in §D of

this regulation if:

(1) There is a minimum of 10 years clinical practice in the United States or Canada, with

3 years being within 5 years of the date of the application; and

(2) The clinical practice occurred under a full unrestricted license to practice medicine.

G. Examination.

(1) An applicant for licensure in Maryland shall successfully complete at least one of the

following examination requirements:

(a) Achieve a passing score on all parts of the National Board of Medical Examiners

examination as evidenced by an endorsement of certification issued by the National

Board of Medical Examiners;

(b) Achieve a score as follows:

(i) At least 75 on each part of the FLEX examination;

(ii) A FLEX weighted average score of at least 75 on a FLEX examination

taken before 1985 and achieved in one sitting; or

(iii) A FLEX weighted average score of at least 75 on a FLEX examination

taken before 1985 and be currently certified by a member board of the

American Board of Medical Specialties;

Certification or a Certification of Completion issued by the National Board of

Osteopathic Medical Examiners after January 1, 1971, on:

(i) All parts of the examination of the National Board of Osteopathic

Medical Examiners (NBOME);

(ii) All levels of the Comprehensive Osteopathic Medical Licensing

Examination (COMLEX); or

(iii) A combination of these examinations;

(d) Achieve the recommended passing score on all levels of the Comprehensive

Osteopathic Medical Licensing Exam of the National Board of Osteopathic

Medical Examiners;

(e) Achieve passing scores on any of the following examination combinations:

(i) NBOME Part 1 + NBOME Part 2 + COMLEX Level 3;

(ii) NBOME Part 1 + COMLEX Level 2 + COMLEX Level 3;

(iii) NBOME Part 1 + COMLEX Level 2 + NBOME Part 3;

(iv) COMLEX Level 1 + NBOME Part 2 + NBOME Part 3;

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(v) COMLEX Level 1 + COMLEX Level 2 + NBOME Part 3; or

(vi) COMLEX Level 1 + NBOME Part 2 + COMLEX Level 3;

(f) Achieve a passing score on all parts of the examination of any state board or the

District of Columbia Board of Medicine in the United States;

(g) Achieve a passing score on all steps of the United States Medical Licensing

Examination (USMLE);

(h) If completed before the year 2000, achieve passing scores on any of the

following examination combinations:

(i) USMLE Step 1 + NBME Part II + NBME Part III;

(ii) USMLE Step 1 + USMLE Step 2 + NBME Part III;

(iii) USMLE Step 1 + NBME Part II + USMLE Step 3;

(iv) NBME Part I + USMLE Step 2 + USMLE Step 3;

(v) NBME Part I + USMLE Step 2 + NBME Part III;

(vi) NBME Part I + NBME Part II + USMLE Step 3;

(vii) FLEX Component 1 + USMLE 3;

(viii) FLEX Component 2 + USMLE Step 1 + NBME Part II;

(ix) FLEX Component 2 + USMLE Step 1 + USMLE Step 2;

(x) FLEX Component 2 + NBME Part I + USMLE Step 2; or

(xi) FLEX Component 2 + NBME Part I + NBME Part II; or

(i) Achieve a passing score on each part of the applicable qualifying examination

of the Liceniate of the Medical Council of Canada.

(2) An applicant who fails any part, step, level, or component of the examinations or

combination of examinations listed in §G(1)of this regulation three or more times shall

meet one of the requirements listed in §G(3) of this regulation.

(3) An otherwise qualified applicant who passes the examination after having failed the

examination or any part of the examinations listed in §G(1) of this regulation or any part,

step, level, or component of any of the examinations listed in §G(1) three or more times

may qualify for a license only if the applicant:

(a) Has had no disciplinary action pending and has had no disciplinary action taken

against the applicant that would be grounds for discipline under Health Occupations

Article, §14-404, Annotated Code of Maryland and has successfully completed 2

or more years of a residency or fellowship accredited by the ACGME or the AOA

and has a minimum of 5 years of clinical practice of medicine:

(i) With at least 3 of the 5 years having occurred within 5 years of the date

of the application;

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(ii) In the United States or in Canada; and

(iii) That occurred under a full unrestricted license to practice medicine; or

(b) Is Board-certified.

(4) Notwithstanding §G(1) of this regulation, the Board shall require an applicant to pass

the SPEX examination or the Comprehensive Osteopathic Medical Variable-Purpose

Examination—USA (COMVEX—USA) if the applicant:

(a) Last passed a medical licensing examination more than 15 years before this

application;

(b) Has never had specialty board certification or last passed a specialty board

certification examination given by a member board of the ABMS or the AOA more

than 10 years before this application;

States or Canada within the 10-year period before this application; and

(d) Has not actively practiced clinical medicine in the United States or Canada for

at least 7 of the 10 years before this application.

(5) Notwithstanding §G(1) of this regulation, the Board may require an applicant to pass

the SPEX examination or the Comprehensive Osteopathic Medical Variable-Purpose

Examination — USA (COMVEX — USA) if the applicant meets one or more of the

conditions listed in §G(4) of this regulation.

H. Additional Requirements.

(1) Each applicant shall submit a chronological list of all activities beginning with the date

of completion of medical school through the date of application. The activities shall be

listed by month and year, account for all periods of time, and include but not be limited to

the following:

(a) All postgraduate training programs attended, regardless of whether the program

was completed or not;

(b) Each job held, regardless of whether the job was:

(i) Medically related or not; or

(ii) Compensated or not;

(d) An action, by a state licensing or disciplinary board, or a comparable body in

the armed services, denying an application for licensure, reinstatement, or renewal;

(e) An action taken against the physician's license, by a state licensing or

disciplinary board, or a comparable body in the armed services, including but not

limited to limitations of practice, required education, admonishment, reprimand,

suspension, or revocation for an act that would be grounds for disciplinary action

under Health Occupations Article, §14-404, Annotated Code of Maryland;

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(f) An investigation or charge brought against the physician by a licensing or

disciplinary body or comparable body in the armed services;

(g) A medical or health professional license for which the physician has applied if

the application was withdrawn for reasons that would be grounds for disciplinary

action under Health Occupations Article, §14-404, Annotated Code of Maryland;

(h) An investigation or charge brought against the physician by a hospital, related

institution, or alternative health care system that would be grounds for action under

Health Occupations Article, §14-404, Annotated Code of Maryland;

(i) Any limitation or loss in privileges by a hospital, related health care facility, or

alternative health care system that would be grounds for disciplinary action under

Health Occupations Article, §14-404, Annotated Code of Maryland;

(j) A plea of guilty or nolo contendere, a conviction, or receipt of probation before

judgment for a criminal act;

(k) A plea of guilty or nolo contendere, a conviction, or receipt of probation before

judgment for an alcohol or controlled dangerous substance offense, including but

not limited to driving while under the influence of alcohol or controlled dangerous

substances;

(l) An arrest which would provide a basis for investigation or charge which would

be grounds for disciplinary action under Health Occupations Article, §14-404,

Annotated Code of Maryland;

(m) A physical or mental condition that currently impairs the physician's ability to

practice medicine; and

(n) The filing or settling of a medical malpractice action in which the physician is,

or has been, named as a defendant within the past 5 years.

(2) An applicant shall submit the following additional information:

(a) Copies of the complaints, pleadings, and judgments in all malpractice claims if

the applicant has had 3 or more claims in the 5 years before the filing of the

application for licensure;

(b) Copies of all arrests, disciplinary actions, judgments, and final orders which

occurred or were issued within the 7 years before submitting the application for

licensure for driving while intoxicated, driving while under the influence of a

chemical substance or medication, or any license probation, suspension, or

revocation; and

the dates when these examinations were taken.

(3) On forms supplied by the Board, an applicant shall agree to release to the Board relevant

information from appropriate individuals, other institutions, and government agencies

including, but not limited to, the National Practitioner Data Bank, hospitals, and other

licensing bodies.

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(4) On forms supplied by the Board, an applicant shall allow the Board to release

information which is not statutorily protected.

(5) During the application process, an applicant for licensure shall have the duty to inform

the Board by electronic or first-class mail of any of the circumstances listed in §H(1) and

(2) of this regulation within 30 days of the occurrence of or notification about these

circumstances.

(6) If reasonable questions regarding an applicant's physical, mental, or professional

competency have been raised by the information provided on the application, the Board

may request additional information regarding the applicant's competency from the chief of

staff of a hospital where the applicant has practiced.

I. English Language Competency. The applicant shall demonstrate oral and written English

language competency as described in Regulation .04D of this chapter.

J. Speech Impairment. An applicant wishing to claim speech impairment shall submit

documentation of the impairment to the Board as described in Regulation .04E of this chapter.

Please visit Board of Physicians for more information.

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Massachusetts

Board of Registration in Medicine

200 Harvard Mill Square, Suite 330

Wakefield, MA 01880

Phone: (781) 876-8200

Contact: [email protected]

Massachusetts Requirements

Requirements for a full license for graduates of U.S. or Canadian medical schools

 Pre-Medical Education: Completion of a minimum of two or more academic years at a

legally chartered college or university, which must include courses in biology, inorganic

chemistry, organic chemistry and physics, or their equivalent as determined by the Board.

 Medical Education: Completion of four academic years of instruction, of not less than

thirty-two weeks in each academic year, in a legally chartered medical school, and receipt

of the degree of doctor of medicine or its equivalents. A waiver for substantial equivalency

of medical school education must be completed if any required or elective medical school

clinical study was completed offsite of the medical school and without supervision by the

medical school faculty.

 Post-Graduate Medical Education: Completion of two (2) years of ACGME approved

or accredited Canadian post-graduate medical training.

Examination requirements for license applicants who have graduated from U.S., Canadian or

international medical schools

 USMLE Steps 1, 2 and 3; or

 FLEX Components 1 and 2; or

 NBME Parts I, II and III; or

 All parts of the MCCQE; or

 All parts of the examination of the National Board of Osteopathic Medical Examiners; or

 A state examination given prior to June 19, 1970.

Please visit Board of Registration in Medicine for more information.

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Michigan

Department of Licensing and Regulatory Affairs

Bureau of Professional Licensing

P.O. Box 30670

Lansing, MI 48909

Phone: (517) 241-0199

Michigan Requirements

ALL APPLICANTS:

 A fingerprint report and criminal background check are required. Fingerprints must be

taken using the instructions and ID numbers that are sent to the applicant after the license

application and fee are received and entered into the database.

 Human Trafficking requirement – Administrative Rule R 338.120: Proof of completion of

training to identify victims of human trafficking. This is a one-time training that is separate

from continuing education (CE). Licensees renewing in 2017 must complete training by

renewal in 2020; renewals for 2018 by 2021, and renewals for 2019 by 2022. Beginning

December 20, 2021, completion of the training is a requirement for initial license issuance.

ELIGIBILITY FOR FULL DO LICENSURE BY EXAMINATION: (initial license)

 Submit the osteopathic medicine license by examination application found at

https://www.michigan.gov/lara/0,4601,7-154-72600_72603_27529_27547---,00.html

with the appropriate fee to the Michigan Board. If also applying for a controlled substance

license, submit the additional fee listed on the application.

 Certification of your examination scores must be submitted directly to this office from the

National Board of Osteopathic Medical Examiners (NBOME). You may request

certification from NBOME by visiting their website www.nbome.org.

 Official transcripts confirming the completion of the requirements for a degree in

osteopathic medicine must be submitted directly to this office from a board approved

school of osteopathic medicine.

 The Certification of First Year Postgraduate Training form, confirming satisfactory

completion of 1 year postgraduate clinical training approved by the American Osteopathic

Association (AOA) or the Accreditation Council for Graduate Medical Education

(ACGME), must be submitted directly to this office from the Medical Director or

Superintendent where you completed your postgraduate clinical training. The form will not

be accepted by the board if completed or submitted more than 30 days before completion

of the first year of training.

Please visit Bureau of Professional Licensing for more information.

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Minnesota

Minnesota Board of Medical Practice

2829 University Avenue, S.E., Suite 500

Minneapolis, MN 55414-3246

Phone: (612) 617-2130

Contact: [email protected]

Minnesota Requirements

Domestic Graduate Requirements

 Graduate of an accredited medical or osteopathic school located in the United States, its

territories, or Canada.

 Successfully complete one year of U.S./Canadian graduate, clinical medical training in a

program accredited by the Accreditation Council of Graduate Medical Education

(ACGME) or the American Osteopathic Association (AOA) or the Royal College of

Physicians & Surgeons of Canada, or the College of Family Physicians of Canada (CFPC)

or other graduate training approved, in advance, by the board as meeting standards similar

to those of a national accrediting organization.

 Successfully complete the USMLE, COMLEX, National Board, LMCC, FLEX or state

exam. Applicants licensed in another state must pass the SPEX exam within three attempts

if it has been more than 10 years since taking the initial licensing exam unless currently

certified by a specialty board of the American Board of Medical Specialties, of the

American Osteopathic Association Bureau of Professional Education, of the Royal College

of Physicians and Surgeons of Canada, or of the College of Family Physicians of Canada.

USMLE REQUIREMENTS

 Applicants must have passed steps 1, 2 and 3 within three attempts. Four attempts are

allowed ifcurrently licensed in another state and currently certified by a specialty board of

ABMS, AOABPE, RCPSC, or CFPC. USMLE Step 3 must be passed within 5 years of

Step 2 or before the end of residency training. Applicants must pass each step with passing

scores as recommended by the USMLE program. Combinations of FLEX, National Board,

and USMLE (as outlined in the USMLE bulletin) may be accepted by the Board as

comparable to existing exam sequences, but all exams must be passed within three attempts

and completed prior to the year 2000.

COMLEX EXAM-USA

 Applicants must have passed levels one, two and three with passing scores within three

attempts.

FLEX EXAM REQUIREMENTS

Eligibility requirements for medical licensure in Minnesota based on the FLEX exam are as

follows:

 Applicants who took and passed FLEX prior to 1985 must have passed in one sitting within

five attempts.

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 Applicants who took and passed FLEX between 1985 and 1990 may pass in two sittings

providing it is within five attempts.

 Applicants who have made up to five attempts to pass FLEX (some attempts before 1985

and some between 1985 and 1990, inclusive) may pass in two sittings between 1985 and

1990.

 Applicants taking FLEX after 1990 may pass in two sittings within three attempts. The

latest score is the "official score". Passing score is a weighted average of 75 prior to 1985;

thereafter, the passing score is 75 on each component.

Please visit Minnesota Licensing for more information.

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Mississippi

Mississippi State Board of Medical Licensure

1867 Crane Ridge Drive, Suite 200-B,

Jackson, MS 39216

Phone: (601) 987-3079

Mississippi Requirements

Rule 1.1 Licensure by Credentials.

The Board endorses licenses to practice medicine obtained in most states by written examination

prior to March 8, 1973. Subject to the provisions of Part 2605, Rule 1.2, all applicants for medical

licensure who took the FLEX between March 8, 1973, and January 24, 1985, must have passed

the FLEX taken in one three-day sitting with a weighted average of 75 or higher in order to obtain

licensure in Mississippi. The Board will not accept scores of more than one administration of the

FLEX which have been combined (factored) to provide a FLEX weighted average of 75 or higher.

From and after January 24, 1985, an applicant for medical licensure by reciprocity must have

passed both Components I and II of the FLEX with a score of 75 to be considered the passing

grade for each component. From and after June 1994, the Board shall endorse licenses to practice

medicine from applicants who have successfully taken Steps 1, 2 and 3 of the USMLE.

Those doctors of osteopathic medicine who graduated prior to June 1, 1973, will be considered

only if they took and passed the same written licensure examination given in that state at that time

to graduates of medical schools. A statement to this effect must be submitted to this Board from

that licensing board.

The Board may endorse Diplomates of the NBME; the NBOME (COMLEX), if examination

completed on or after February 13, 1973, or licentiates of the Medical Council of Canada.

The Board may consider licensure to a graduate of an international medical school who was

licensed in another state by written examination prior to March 8, 1973, if he or she is certified by

a board recognized by the ABMS.

In addition to the above requirements for licensure by credentials, an individual shall meet the

following requirements:

A. Applicant must be twenty-one (21) years of age and of good moral character.

B. Present a diploma from a reputable medical college or college of osteopathic medicine, subject

to the following conditions:

1. If the degree is from a medical college or a college of osteopathic medicine in the United

States or Puerto Rico, the medical college must be accredited at the time of graduation by

the LCME, a Joint Committee of the Association of American Medical Colleges (AAMC)

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and the AMA or the College of Osteopathic Medicine which must be accredited by the

AOA.

2. If the degree is from a Canadian medical school, the school must be accredited at the

time of graduation by the LCME and by the Committee on Accreditation for Canadian

Medical Schools.

3. If the degree is from an international medical school, the medical school must be in the

World Director of Medical Schools or its equivalent. A graduate from an international

medical school must either

(i) possess a valid certificate from the ECFMG or

(ii) document successful completion of a Fifth Pathway program and be currently

board certified by a specialty board recognized by the ABMS.

4. Any diploma or other document required to be submitted to the Board by an applicant

which is not in the English language must be accompanied by a certified translation thereof

into English.

C. If a graduate from a medical college or college of osteopathic medicine in the United States,

Canada or Puerto Rico, applicant must present documentation of having completed at least one (1)

year of postgraduate training in the United States accredited by the ACGME or by the AOA; or

training in Canada accredited by the RCPSC.

D. Applicants who graduated from an international medical school must present documentation of

having completed either:

1. three (3) or more years of ACGME-approved postgraduate training in the United States

or training in Canada approved by the RCPSC; or

2. one (1) year of ACGME-approved postgraduate training in the United States or training

in Canada approved by the RCPSC, be currently board certified by a specialty board

recognized by the ABMS and must have approval by the Board.

E. An applicant who otherwise possesses all of the qualifications for licensure by credentials, but

has not taken a medical proficiency examination or licensure examination within ten (10) years

prior to filing his or her application, must pass the SPEX or COMVEX* , unless the applicant:

1. Submits satisfactory proof of current certification by an ABMS and participating in

Maintenance of Certification (MOC) or AOA approved specialty board and participating

in Osteopathic Continuous Certification (OCC); or

2. Submits proof that the applicant's sole purpose for seeking licensure is to serve as the

Dean, Chairman of the Department or Faculty of an ACGME or AOA approved training

program. In such case, a license shall remain in effect so long as licensee is a member of

the faculty of the ACGME or AOA approved training program.

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F. Submit certified copy of either (i) a birth certificate or (ii) a valid passport. G. Complete an

application for medical license and submit it to the Board in a manner prescribed by the Board

with a recent passport type photograph. H. Submit fee prescribed by the Board. I. Submit

fingerprints for state and national criminal history background checks.

Please visit Mississippi State Board of Medical Licensure for more information.

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Missouri

Board of Registration for the Healing Arts

3605 Missouri Boulevard

P.O. Box 4

Jefferson City, MO 65102

Phone: (573) 751-0098

Contact: [email protected]

Missouri Requirements

(1) Every applicant for a permanent license as a physician and surgeon who is a graduate of a

medical college, approved and accredited by the American Medical Association (AMA) or

its Liaison Committee on Medical Education, or an osteopathic college approved and

accredited by the American Osteopathic Association (AOA), must present a certificate with

his/her application evidencing the satisfactory completion of one (1) year of postgraduate

training in a program which is approved and accredited to teach postgraduate medical

education by the accreditation counsel on graduate medical education of the AMA or the

education committee of the AOA

(2) (A) Applicant has received a passing score on any of the following:

a. 1. A licensing examination administered in one (1) or more states or territories of

the United States or the District of Columbia;

b. 2. Components 1 and 2 of the Federation Licensing Examination (FLEX) before

January 1, 1994; or

c. 3. Each of the three (3) Steps of the United States Medical Licensing Examination

(USMLE) within a seven- (7-) year period. Applicant shall not be deemed to have

received a passing score on any Step of the USMLE unless applicant has received

a passing score on that Step within three (3) attempts. Failure to pass any USMLE

Step shall be considered a failure to pass that Step for purposes of Missouri

licensure, regardless of the jurisdiction in which the Step was administered; or

d. 4. One (1) of the hybrid combinations of FLEX, USMLE, NBME (National Board

of Medical Examiners), and NBOE (National Board of Osteopathic Examiners

(currently known as the National Board of Osteopathic Medical Examiners))

examinations as set forth here, if completed before January 1, 2000—

i. NBOE Part I, NBME Part I, or

ii. USMLE Step 1 plus NBOE Part II, NBME Part II, or

iii. USMLE Step 2 plus NBOE Part III, NBME Part III, or

iv. USMLE Step 3 or

v. FLEX Component I plus USMLE Step 3 or

vi. NBOE Part I, NBME Part I, or

vii. USMLE Step 1 plus NBOE Part II, NBME Part II, or

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viii. USMLE Step 2 plus FLEX Component 2

Please visit State Board of Registration for the Healing Arts for more information.

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Montana

Montana Board of Medical Examiners

P.O. Box 200513

301 South Park, 4

Floor

Helena, Montana 59620-0513

Phone: (406) 444-5773

Contact: [email protected]

Montana Requirements

LICENSING REQUIREMENTS:

 Must be a graduate of a medical school approved by the American Osteopathic Association

(AOA) or the Council for Medical Education of the American Medical Association (AMA).

 U.S. graduates must have successfully completed a Board-approved post-graduate residency

program.

 Foreign graduates must complete at least 3 years post-graduate training in an approved program

in the United States or Canada or been granted board certification by a specialty board which is

approved by AMA or AOA.

 Foreign graduates must provide a certificate from the Educational Council for Foreign Medical

Graduates (ECFMG, www.ecfmg.org) and from the Fifth Pathway Program, if applicable.

 Must have passed a licensing exam, approved by the Board, with a score of at least 75% on all

portions of the examination. Please refer to the Board statutes and rules (ARM 24.156.606) for

specific information regarding examination information and limits on attempts.

 Must be of good moral character. FEES: $500.00 Application Fee Make payable to Montana

Board of Medical Examiners

Please visit Montana Board of Medical Examiners for more information.

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Nebraska

Department of Health and Human Services

301 Centennial Mall South

Lincoln, Nebraska 68509

Phone: (402) 471-3121

Nebraska Requirements

88-003.01 Qualifications 88-003.01A

To receive a license to practice medicine and surgery by examination on the basis of education

received at an accredited school or college of medicine, an individual must meet the following

qualifications:

1. Age and Good Character: Be at least 19 years old and of good character;

2. Citizenship/Lawful Presence: Be a citizen of the United States, an alien lawfully

admitted into the United States who is eligible for a credential under the Uniform

Credentialing Act, or a nonimmigrant lawfully present in the United States who is eligible

for a credential under the Uniform Credentialing Act;

3. Education: Have graduated from an accredited school or college of medicine;

4. Graduate Medical Education: Have successfully completed one year of approved

graduate medical education;

5. Examination: Have successfully passed a licensing examination; and

6. Experience: Meet one of the following within the three years immediately preceding the

application for licensure:

a. Have been in the active practice of the profession of medicine and surgery in

some other state, a territory, the District of Columbia, or Canada for a period of one

year; or

b. Have had at least one year of approved graduate medical education; or

c. Have completed continuing medical education approved by the Board; or

d. Have completed a refresher course in medicine and surgery approved by the

Board; or

e. Have completed the special purposes examination approved by the Board.

Please visit Department of Health and Human Services for more information.

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Nevada

Nevada State Board of Osteopathic Medicine

2275 Corporate Circle, Suite 210

Henderson, NV 89074

Phone: (702) 732-2147

Nevada Requirements

NRS 633.311 Qualifications of applicants for license to practice osteopathic medicine.

 Except as otherwise provided in NRS 633.315 and 633.381 to 633.419, inclusive, an

applicant for a license to practice osteopathic medicine may be issued a license by the

Board if:

o The applicant is 21 years of age or older;

o The applicant is a citizen of the United States or is lawfully entitled to remain and

work in the United States;

o The applicant is a graduate of a school of osteopathic medicine;

o The applicant:

 Has graduated from a school of osteopathic medicine before 1995 and has

completed:

 A hospital internship; or

 One year of postgraduate training that complies with the standards

of intern training established by the American Osteopathic

Association;

 Has completed 3 years, or such other length of time as required by a specific

program, of postgraduate medical education as a resident in the United

States or Canada in a program approved by the Board, the Bureau of

Professional Education of the American Osteopathic Association or the

Accreditation Council for Graduate Medical Education; or

 Is a resident who is enrolled in a postgraduate training program in this State,

has completed 24 months of the program and has committed, in writing, that

he or she will complete the program;

 The applicant applies for the license as provided by law

 The applicant passes:

o All parts of the licensing examination of the National Board of Osteopathic

Medical Examiners;

o All parts of the licensing examination of the Federation of State Medical

Boards;

o All parts of the licensing examination of the Board, a state, territory or

possession of the United States, or the District of Columbia, and is certified by

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a specialty board of the American Osteopathic Association or by the American

Board of Medical Specialties; or

o A combination of the parts of the licensing examinations specified in

subparagraphs (1), (2) and (3) that is approved by the Board;

 The applicant pays the fees provided for in this chapter; and

 The applicant submits all information required to complete an application for a license.

Please visit Nevada Legislature for more information.

2. An applicant for a license to practice osteopathic medicine may satisfy the requirements

for postgraduate education or training prescribed by paragraph (d) of subsection 1:

(a) In one or more approved postgraduate programs, which may be conducted at one or more

facilities in this State or, except for a resident who is enrolled in a postgraduate training program

in this State pursuant to subparagraph (3) of paragraph (d) of subsection 1, in the District of

Columbia or another state or territory of the United States;

(b) In one or more approved specialties or disciplines;

(d) At any time before receiving his or her license.

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New Hampshire

New Hampshire Board of Medicine

Office of Professional Licensure & Certification

121 South Fruit Street

Concord, NH 03301

Phone: (603) 271-2152

New Hampshire Requirements

329:12 Qualifications of Licensees.

Applicants for licensure shall:

 Pay a fee established by the board.

 Submit an application in a form prescribed by the board which shall be verified by oath.

 Submit a complete set of fingerprints and a criminal history record release form pursuant

to RSA 329:11-a.

 Demonstrate to the reasonable satisfaction of the board that the applicant:

o Is 21 years of age or older;

o Is of good professional character;

o Has completed at least 2 years of college course work or its equivalent.

o Has studied the treatment of human ailments in a medical school maintaining at the

time of such studies a standard satisfactory to the Accreditation Council for Medical

Education and has graduated from such school or has studied medicine in a medical

school located outside the United States which is recognized by the United Nations

World Health Organization (UNWHO) and had such studies confirmed by

Educational Commission for Foreign Medical Graduates (ECFMG) Certification;

o Has completed at least 2 years of postgraduate training approved by the

Accreditation Council on Graduate Medical Education, or its equivalent as

determined by the board. Each applicant who has graduated from an accredited

medical school prior to January 1, 1970, is required to have satisfactorily completed

at least 12 months in a graduate educational program approved by the Accreditation

Council on Graduate Medical Education, the Canadian Medical Association, or the

Royal College of Physicians and Surgeons of Canada.

o Has successfully passed one of the following sets of examinations:

 National Board of Medical/Osteopathic Examiners examinations.

 Federation Licensing Examination (FLEX).

 United States Medical Licensing Examination (USMLE).

 Medical Council of Canada Examination (LMCC).

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The board may waive the examination requirement for any applicant who has satisfactorily passed

all examinations and requirements to become board certified by the American Board of Medical

Specialties (ABMS) or by the American Osteopathic Association (AOA).

Please visit New Hampshire Statutes for more information.

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New Jersey

Board of Medical Examiners

124 Halsey Street

Newark, New Jersey 07102

Phone: (973) 504-6200

Contact: [email protected]

New Jersey Requirements

Educational Requirements:

 4 years in board approved osteopathic college

Postgraduate Training:

 Graduated from medical school prior to July 1, 2003: 1 year AOA or ACGME-approved

program; graduated after July 1, 2003: 2 years of AOA or ACGME approved postgraduate

training and has signed a contract for a 3rd year (2 years must be in the same field or would,

when considered together, be credited toward the criteria for certification by a single

specialty board recognized by ABMS or AOA).

Examinations Accepted:

 COMLEX, NBOME, USMLE, FLEX, individual state licensing examinations taken prior

to December 31, 1972

License Fee: $610

Federation Credentials Verification Service (FCVS): Will accept

Reciprocity or Endorsement: Applicants must start at beginning of application process. Interview

may be required. Special Licenses: None

Please visit American Osteopathic Association for more information.

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New Mexico

Board of Osteopathic Medical Examiners

Toney Anaya Building

2550 Cerrillos Road, Second Floor

Santa Fe, New Mexico 87504

Phone: (505) 476-4622

Contact: [email protected]

New Mexico Requirements

Application For Licensure

Application: All persons seeking licensure shall submit application on forms provided by the

board. All application forms must be verified under oath and shall contain but shall not be

limited to the following information and documents:

 full legal name;

 present mailing address;

 date and place of birth;

 date and location of all baccalaureate and post-baccalaureate training, professional

training, medical training, degrees obtained, and field(s) of study;

 certification of dean of osteopathic school with school seal affixed;

 certification of one year of post-graduate training;

 two letters of reference from two physicians who have known the applicant in a

professional and personal capacity for at least one year;

 a photograph taken within the preceding six months attached to the application;

 notarized copy of medical diploma;

 notarized copy of internship certificate;

 clearance from other state boards where licensed stating that license has not been subject

to disciplinary action;

 clearance from the American osteopathic association, the federation of state medical

boards of the United States;

 NBOE, FLEX, COMLEX or USMLE scores sent directly to the board.

Please visit Board of Osteopathic Medicine for more information.

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New York

New York State Education Department

Office of the Professions

P.O. Box 22063

Albany, NY 12201

Phone: (518) 474-3004

New York Requirements

General Requirements

Any use of the title "Physician" or practice of medicine within New York State requires

licensure. (However, under specified limitations defined in Section 6526 of New York State

Education Law, you may be exempt from licensure.)

To be licensed as a physician in New York State you must:

 be of good moral character;

 be at least 21 years of age; and

 meet education, examination and experience requirements.

You must file an application for licensure and the other forms indicated, along with the

appropriate fee, to the Office of the Professions at the address specified on each form. It is your

responsibility to follow up with anyone you have asked to send us material.

Education Requirements

To satisfy the education requirements for licensure as a physician, you must present evidence of

both A and B below.

A. Preprofessional Education:

Satisfactory completion of 60 semester hours of college study from a New York State registered

program or the equivalent as determined by the New York State Education Department.

B. Professional Education:

1. Graduates of Registered or Accredited Medical Programs

Satisfactory completion of a medical program registered by the New York State Education

Department as licensure-qualifying* or accredited by the Liaison Committee on Medical

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Education (LCME) or the American Osteopathic Association (AOA) and have received the

degree of Doctor of Medicine, Doctor of Osteopathic Medicine, or the equivalent.

Experience

Postgraduate Training Requirements

I. Graduates of Registered or Accredited Medical Programs

If you graduated from a NYS- registered or LCME- or AOA-accredited medical program, you

must complete at least one year of postgraduate hospital training in an accredited residency

program approved by the Accreditation Council for Graduate Medical Education, the American

Osteopathic Association, or the Royal College of Physicians and Surgeons of Canada.

Examination Requirements

The current examinations required for licensure as a physician in New York State are either:

 Step 1, Step 2, and Step 3 of the United States Medical Licensing Examination (USMLE)

 Part I, Part II, and Part III of the examinations of the National Board of Osteopathic

Medical Examiners (NBOME)

Other Acceptable Examination Combinations (NBME, FLEX, USMLE)

Please visit State Department of Education for more information.

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North Carolina

North Carolina Medical Board

1203 Front Street

Raleigh, NC 27619-0007

Phone: (919) 326-1100

North Carolina Requirements

Educational Requirements:

 Except for graduates of foreign medical schools, applicants must have graduated from a

medical school accredited by the Liaison Committee on Medical Education (LCME), the

American Osteopathic Association (AOA) or the Committee for the Accreditation of

Canadian Medical Schools.

Postgraduate Training: 1 year

Examinations Accepted:

 COMLEX, NBOME, USMLE, FLEX, NBME, LMCC, MCQUE, state board written

exam Other Requirements: Physicians who have been out of clinical practice for 2 or

more years may be required to develop a “re-entry” plan as part of their application.

License Fee: $440 (includes criminal background record check fee - $38)

CME Requirements:

 All physicians, except those holding a residency training license, shall complete at least

60 hours of AOA or AMA Category 1 CME relevant to the physician's current or

intended specialty or area of practice every three years. Beginning on July 1, 2017, every

physician who prescribes controlled substances, except those holding a residency training

license, shall complete at least three hours of CME, from the required 60 hours of

Category 1 CME, that is designed specifically to address controlled substance prescribing

practices. The controlled substance prescribing CME shall include instruction on

controlled substance prescribing practices, recognizing signs of the abuse or misuse of

controlled substances, and controlled substance prescribing for chronic pain management.

A physician who is continuously engaged in a program of recertification, or maintenance

of certification, from an ABMS, AOA or RCPSC specialty board shall be deemed to have

satisfied his or her entire CME requirement for that three year cycle. Any physician who

qualifies for the aforementioned exemption and who, as part of their recertification or

maintenance of certification process, completed CME that specifically satisfies the

controlled substance prescribing CME requirement is not required to take controlled-

substance prescribing CME beyond that included in their MOC process.

Please visit North Carolina Medical Board for more information.

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North Dakota

North Dakota Board of Medicine

418 E Broadway Avenue, Suite 12

Bismarck, ND 58501

Phone: (701) 328-6500

North Dakota Requirements

Every applicant for license shall file a completed application, on forms provided by the board,

showing to the board's satisfaction that the applicant is of good moral character and satisfies all

of the requirements of this chapter including:

 Successful completion of a medical licensure examination satisfactory to the board;

 Physical, mental, and professional capability for the practice of medicine in a manner

acceptable to the board; and

 A history free of any finding by the board, any other state medical licensure board, or any

court of competent jurisdiction of the commission of any act that would constitute

grounds for disciplinary action under North Dakota law; the board may modify this

restriction for cause.

Possession of the degree of doctor of medicine or doctor of osteopathy from a medical school

located in the U.S., its possessions, territories, or Canada, approved by the Board or by an

accrediting body approved by the Board at the time the degree was conferred.

Successful completion of one year of postgraduate training in the U.S. or Canada in a program

approved by the Board or by an accrediting body approved by the Board.

Licensure by a state-constructed written examination in North Dakota or in another state; or

successful completion of one of the following licensing examinations or acceptable combinations

thereof: FLEX (Federation Licensing Examination), NBME (National Board of Medicine),

LMCC (Licentiate of the Medical Council of Canada), USMLE (United States Medical

Licensing Examination), NBOME (National Board of Osteopathic Medicine), or COMLEX

(Comprehensive Osteopathic Medical Licensing Examination). An applicant is permitted a

maximum of three attempts to pass each step or part or component of a licensing examination.

The examination requirements must be successfully completed within a seven (7) year period.

Upon review of an individual applicant, the board may allow an exception to this rule if it finds

that it is in the best interest of the state and the applicant:

 Is validly licensed as a physician in another state;

 Has practiced a minimum of ten years;

 Has no disciplinary actions imposed by any other state medical licensing board

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 Is certified by a specialty board recognized by the American board of medical specialties

or by the royal college of physicians and surgeons of Canada; and

 Meets the requirement of section 50-02-11-02, regarding the time limit for examination

attempts.

Please visit North Dakota Board of Medicine for more information.

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Ohio

State Medical Board of Ohio

30 E. Broad Street, 3

Floor

Columbus, OH 43125

Phone: (614) 466-3934

Contact: [email protected]

Ohio Requirements

4731-6-14 Eligibility for licensure by examination.

 The board shall issue its certificate to each individual who passes the medical and

osteopathic examination as provided in rules 4731-6-03, 4731-6-05 and 4731-6-07 of the

Administrative Code; who has completed the graduate medical education required by

sections 4731.091, 4731.092 and 4731.14 of the Revised Code; who demonstrates

proficiency in spoken English as required by section 4731.142 of the Revised Code; and

who has paid the certificate issuance fee required by section 4731.14 of the Revised

Code.

 If the applicant passed the USMLE step 3 administered by the USMLE program or the

COMLEX-USA level 3 administered by the COMLEX-USA program for Ohio, the board

shall deny issuance of a certificate if it finds that the applicant does not meet the

requirements of section 4731.08, 4731.09 or 4731.091 of the Revised Code or the

applicable provisions of this chapter of the Administrative Code.

 An applicant for a certificate to practice medicine or surgery, or osteopathic medicine and

surgery who has not previously held a license from another state is eligible for

consideration under section 4731.14 of the Revised Code without board examination in

Ohio if the applicant otherwise meets the eligibility requirements as set forth in sections

4731.09, 4731.091, 4731.14 and 4731.142 of the Revised Code for licensure by board

examination in Ohio and has passed one of the following examinations:

o One of the following examination sequences, with all steps, parts, levels or

components having been administered prior to January 2000. The score achieved

on each step, part, level or component must have equaled or exceeded the figure

established by the USMLE program, the national board of medical examiners, the

national board of osteopathic medical examiners or the federation as a passing

score for that step, part, level or component, respectively.

 Part I of the national board of medical examiners examination or step 1 of

the USMLE, part II of the national board of medical examiners

examination or step 2 of the USMLE, and part III of the national board of

medical examiners examination or step 3 of the USMLE or component 2

of the FLEX; or

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 Part I of the national board of osteopathic medical examiners examination

or level 1 of the COMLEX-USA, part II of the national board of

osteopathic medical examiners examination or level 2 of the COMLEX-

USA, and part III of the national board of osteopathic medical examiners

examination or level 3 of the COMLEX-USA.

o Component 1 of the FLEX and step 3 of the USMLE. The component and step

must have been administered prior to January 2000. A performance of seventy-

five or above must have been achieved on component 1. The performance

achieved on step 3 must have been recognized by the USMLE program as a

recommended passing performance; or

o USMLE steps 1, 2 clinical knowledge, 2 clinical skills and 3 or COMLEX-USA

levels 1, 2 cognitive evaluation, 2 performance evaluation and 3.

 An applicant shall have passed the USMLE steps 1, 2 clinical knowledge,

2 clinical skills and 3 or COMLEX-USA levels 1, 2 cognitive evaluation,

2 performance evaluation and 3 within a ten-year period, and achieved a

recognized passing performance by the USMLE program on each step or

step component or NBOME on each level. No applicant shall have failed

any step or level more than five times.

 The board may grant a good cause waiver to any applicant that does not

meet the requirements of paragraph (C)(3)(a) of this rule, if the applicant

meets the following:

 Holds current specialty board certification from the American

board of medical specialties or the American osteopathic

association; or

 Demonstrates good cause, as determined by the board, for not

having passed all three steps or levels within the ten year period,

and otherwise meets the requirements set forth in paragraph

(C)(3)(a) of this rule.

 USMLE steps 1, 2 clinical knowledge, 2 clinical skills and 3 and

COMLEX-USA levels 1, 2 cognitive evaluation, 2 performance evaluation

and 3 cannot be combined to fulfill an acceptable testing sequence as

required by paragraph (C)(3)(a) of this rule; or

o Component 1 and 2 of the FLEX. Both components must have been administered

prior to January 2000. The score achieved on each component must have equaled

or exceeded the figure established by the FLEX program as a passing score for

that component.

Please visit Ohio Laws and Rules for more information.

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Oklahoma

State Board of Osteopathic Examiners

4848 North Lincoln Boulevard, Suite 100

Oklahoma City, OK 73105

Phone: (405) 528-8625

Oklahoma Requirements

510:10-3-1. General licensure requirements

Licensure by Board required.

It is the general requirement in the State of Oklahoma that practitioners of osteopathic medicine

and surgery be licensed by the State Board of Osteopathic Examiners.

Postgraduate training.

One year of postgraduate training is a requirement for full licensure. This experience must be in

the form of a rotating internship or its equivalent, in an accredited internship or residency

program acceptable to the Board. To be deemed equivalent to a rotating internship and,

acceptable to the Board, a program must provide the following:

 The program must provide the following core experience:

o One (1) month - General Practice

o Two (2) months - General Internal Medicine

o One (1) month - General Surgery

o One (1) month - Obstetrics/Gynecology

o One (1) month - Pediatrics

 This core experience must be supplemented by three (3) months of Selectives and three

(3) months of Electives, accounting for a total of twelve (12) months. A Selective may be

defined as any core category or Emergency Medicine. An Elective may be any category

of experience chosen by the intern or resident.

 If an applicant has completed an ACGME accredited residency training program, the

Board shall consider this standing as equivalent training.

510:10-3-3. Licensure by examination

 Examination Requirements. To be consistent with the expressed public policy of the

State of Oklahoma affecting the licensure of osteopathic physicians and surgeons under

the provisions of the Osteopathic Medicine Act candidates for licensure must be

examined by a vehicle which tests the individual's basic osteopathic knowledge and skill

embracing the same philosophy as that in which the candidate was educated.

 Postgraduate training. An applicant must take the National examination before

completing the required year of postgraduate training, provided that no license will be

issued until evidence of the satisfactory completion of that year is filed with the Board.

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 National examinations; failure of examination. Any person seeking licensure as an

osteopathic physician and surgeon by taking the National examination must meet all

other requirements.

 National examination. Candidates may be licensed upon the successful completion of

the examination sequence of the National Board of Osteopathic Medical Examiners or the

National Board of Medical Examiners. The candidate must submit proof of having

achieved a Minimum Total Passing Score or above on tests administered

through the National Board of Osteopathic Medical Examiners or the National Board of Medical

Examiners

Please visit State Board of Medical Examiners for more information.

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Oregon

Oregon Medical Board

1500 SW 1

Avenue, Suite 620

Portland, OR 97201-5847

Phone: (971) 673-2700

Contact: [email protected]

Oregon Requirements

677.100 Qualifications of applicant for license.

An applicant for a license to practice medicine in this state, except as otherwise provided in

subsection (2) of this section, must possess the following qualifications:

 Have attended and graduated from a school of medicine.

 Have satisfactorily completed the following post-graduate requirement:

o Satisfactory completion of an approved rotating internship if a graduate of an

approved school of medicine;

o One year of training in an approved program if a graduate of an approved school of

medicine; or

o Three years of training in an approved program if a graduate of an unapproved school

of medicine.

 Have complied with each rule of the Oregon Medical Board which applies to all similar

applicants for a license to practice medicine in this state.

 Have provided evidence sufficient to prove to the satisfaction of the board that the

applicant is of good moral character. For purposes of this section, the lack of good moral

character may be established by reference to acts or conduct that reflect moral turpitude

or to acts or conduct which would cause a reasonable person to have substantial doubts

about the individual’s honesty, fairness and respect for the rights of others and for the

laws of the state and the nation. The acts or conduct in question must be rationally

connected to the applicant’s fitness to practice medicine.

If an applicant establishes that the applicant is of good moral character and has qualifications

which the board determines are the equivalent of the qualifications required by subsection (1)(a)

to (c) of this section, the applicant satisfies the requirements of subsection (1) of this section.

Please visit Oregon Legislature for more information.

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Pennsylvania

State Board of Osteopathic Medicine

One Penn Center

2601 N. 3

Street

Harrisburg, PA 17110

Phone: (717) 783-4858

Contact: ST-OSTEOPATHI[email protected]

Pennsylvania Requirements

§ 25.241. Unrestricted license by examination.

To secure an unrestricted license for the practice of osteopathic medicine and surgery by

examination, the applicant shall meet the following educational and professional requirements.

The applicant shall have:

 Graduated from an approved osteopathic medical college.

 Received passing scores on Parts I, II and III of the National Board Examination. The

applicant shall pay the required examination fee at the direction of the National Board.

 Received a passing score on the practical examination in osteopathic diagnosis and

manipulative therapy developed and administered by the Board or a designated

professional testing organization.

 Successfully completed an approved internship.

 Complied with the malpractice insurance requirements of the Health Care Services

Malpractice Act (40 P. S. § § 1301.101—1301.1006) and regulations thereunder.

 Completed an application obtained from the Board detailing education and experience

and indicating compliance with the applicable provisions of the act and this chapter,

submitted with the required fees.

Please visit Pennsylvania Code for more information.

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Rhode Island

Department of Health

3 Capitol Hill

Providence, RI 02908

Phone: (401) 222-5960

Rhode Island Requirements

§ 5-37-2. License to practice – Qualifications of applicants – Fee – Reexamination.

 (a)(1) Authority to practice allopathic or osteopathic medicine under this chapter shall be

by a license issued by the director of the department of health to any reputable physician

who intends to practice allopathic or osteopathic medicine in this state, and who meets

the requirements for licensure established in this chapter and regulations established by

the board or by the director. Applicants for licensure shall present satisfactory evidence

of graduation from a medical school or school of osteopathic medicine approved by the

board and in good standing, shall meet post graduate training requirements and any other

requirements that the board or director establishes by regulation, and shall pass in a

satisfactory manner any examination that the board may require. Any physician applying

for licensure shall pay a non refundable application fee and when applicable a

reexamination fee for each reexamination, in a total amount as set forth in § 23-1-54.

 A license to practice allopathic medicine shall be issued to persons who have graduated

from a school of medicine, possess a degree of doctor of medicine (or meet the

requirements of subsection (b) of this section), and meet the requirements for licensure.

 A license to practice osteopathic medicine shall be issued to persons who have graduated

from a school of osteopathic medicine and possess a degree of doctor of osteopathy and

otherwise meet the requirements for licensure. A license to practice osteopathic medicine

shall confer upon the holder the right to practice osteopathic medicine in all its branches

as taught and practiced in accredited colleges of osteopathic medicine. The holder of that

license shall be subject to the same duties and liabilities and entitled to the same rights

and privileges, which may be imposed by law or governmental regulation, upon

physicians of any school of medicine.

Qualification of Certain Other Applicants for License.

Notwithstanding any other provisions of this section an individual, who at the time of his or her

enrollment in a medical school outside the United States is a citizen of the United States, shall be

eligible to apply for a certificate pursuant to this section if he or she has satisfied the following

requirements:

 Has studied medicine in a medical school located outside the United States, which is

recognized by the World Health Organization;

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 Has completed all of the formal requirements of the foreign medical school except

internship and/or social service;

 Has attained a score satisfactory to a medical school approved by the liaison committee

on medical education on a qualifying examination acceptable to the state board for

medicine, and has satisfactorily completed one academic year of supervised clinical

training under the direction of any United States medical school;

 Has completed the post-graduate hospital training required by the board of applicants for

licensure; and

 Has passed the examination required by the board of all applicants for licensure.

Satisfaction of the requirements of subdivision (1) of this subsection is in lieu of the completion

of any foreign internship and/or social service requirements, and no such requirements are a

condition of licensure as a physician in this state.

Satisfaction of the requirements of subdivision (1) of this subsection is in lieu of certification by

the educational council for foreign medical graduates, and this certification is not a condition of

licensure as a physician in this state.

No hospital licensed by this state, or operated by the state or a political subdivision of the state,

or which receives state financial assistance, directly or indirectly, requires an individual, who at

the time of his or her enrollment in a medical school outside the United States is a citizen of the

United States, to satisfy any requirements other than those contained in paragraphs (1)(i), (ii),

and (iii) of this subsection prior to commencing an internship or residency.

A document granted by a medical school located outside the United States which is recognized

by the World Health Organization issued after the completion of all the formal requirements of

that foreign medical school except internship and/or social service, upon certification by the

medical school in which this training was received of satisfactory completion by the person to

whom this document was issued of the requirements in paragraph (1)(iii) of this subsection, shall

be deemed the equivalent of a degree of doctor of medicine for purposes of licensure and

practice as a physician in this state.

No funds appropriated by the general assembly to any school or college of medicine shall be

disbursed until the director of the department of health has certified that this school or college

has established, and will maintain until December 31, 1989, a clinical training program as

contemplated by paragraph (1)(iii) of this subsection, to accommodate residents of this state

deemed qualified by that school or college of medicine consistent with that school's or college's

educational resources.

Please visit Board of Medical Licensure and Discipline for more information.

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South Carolina

South Carolina Board of Medical Examiners

110 Centerview Drive

Columbia, SC

Phone: (803) 896-4500

Contact: [email protected]

South Carolina Requirements

SECTION 40-47-32. Permanent licenses; requirements; examinations; post-graduate medical residency

training requirements; fee.

(A) To obtain a permanent license to practice medicine in this State an applicant shall comply with the

requirements of this section.

(B)(1) An applicant shall document to the satisfaction of the board graduation from a:

(a) medical school located in the United States or Canada that is accredited by the Liaison Committee on

Medical Education or other accrediting body approved by the board;

(b) school of osteopathic medicine located in the United States or Canada accredited by the Commission

on Osteopathic College Accreditation or other accrediting body approved by the board;

(2) An applicant who graduated from a medical school located outside of the United States shall:

(a)(i) possess a permanent Standard Certificate from the Education Commission on Foreign Medical

Graduates (ECFMG); and

(ii) document a minimum of three years of progressive postgraduate medical residency training in the

United States approved by the Accreditation Council for Graduate Medical Education (ACGME),

American Osteopathic Association (AOA), or postgraduate training in Canada approved by the Royal

College of Physicians and Surgeons, except that if an applicant has been actively licensed in another state

for the preceding five years or more without significant disciplinary action, the applicant need only

document one year of postgraduate residency training approved by the board; or

(b)(i) document successful completion of a Fifth Pathway program; and

(ii) complete a minimum of three years progressive postgraduate medical residency training in the United

States approved by the ACGME or AOA or postgraduate training in Canada approved by the Royal

College of Physicians and Surgeons or be board eligible or board certified by a specialty board recognized

by the American Board of Medical Specialties (ABMS), the AOA, or another organization approved by

the board;

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requirement if the applicant is to have a full-time academic faculty appointment at the rank of assistant

professor or greater at a medical school in this State.

(1) all parts of the National Board of Medical Examiners Examination in approved sequence;

(2) all parts of the National Board of Osteopathic Medical Examiners Examination in approved sequence;

(3) the Federation Licensing Exam (FLEX) based on standards established by the board;

(4) the United States Medical Licensing Examination (USMLE) based on standards established by the

board;

(5) the Medical Council of Canada Qualifying Examination (MCCQE) in approved sequence;

(6) the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA);

(7) a written state examination of another state medical, osteopathic, or composite board prior to 1976,

and current certification by a specialty board recognized by the American Board of Medical Specialties,

the American Osteopathic Association, or another organization approved by the board; or

(8) combinations of the FLEX, National Board of Medical Examiners, and USMLE acceptable to the

Composite Committee of the USMLE and approved by the board. These combinations may be accepted

only if taken before 1999.

(D) In addition to meeting all other licensure requirements, an applicant shall pass the Special Purpose

Examination (SPEX) or the Composite Osteopathic Variable-Purpose Examination (COMVEX), unless

the applicant can document within ten years of the date of filing a completed application to the board one

of the following:

(1) National Board of Medical Examiners examination;

(2) National Board of Osteopathic Medical Examiners examination;

(3) FLEX;

(4) USMLE;

(5) MCCQE;

(6) SPEX;

(7) COMVEX;

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(8) COMLEX-USA;

(9) ECFMG;

(10) certification, recertification, or a certificate of added qualification examination by a specialty board

recognized by either the American Board of Medical Specialties (ABMS), the American Osteopathic

Association (AOA), or another organization approved by the board; or

(11) one hundred fifty hours of Category I continuing medical education in the three years preceding the

date of the application by an applicant who is currently certified by a specialty board recognized by the

American Board of Medical Specialties, the American Osteopathic Association, or other organization

approved by the board, which certification is not time limited and does not require recertification by

examination. Such Category I continuing medical education must be approved by the American Medical

Association or American Osteopathic Association, or other national organization approved by the board,

as appropriate. Seventy-five percent of these hours must be related to the applicant's area of specialty.

This is the only exception to the ten year requirement of this subsection that does not require an

examination or reexamination.

(E) The additional examination required pursuant to subsection (D) must be waived if the applicant is to

practice in a position within the South Carolina Department of Corrections, the South Carolina

Department of Health and Environmental Control, the South Carolina Department of Mental Health, the

South Carolina Department of Disabilities and Special Needs, or the Disability Determination Services

Unit of the State Agency of Vocational Rehabilitation. A license issued pursuant to this waiver is

immediately invalid if the individual leaves that position or acts outside the scope of employment within

the department. A change in agency may be approved upon presentation to the board of a copy of a

contract in which the individual has been offered a position within the South Carolina Department of

Corrections, the South Carolina Department of Health and Environmental Control, the South Carolina

Department of Mental Health, the South Carolina Department of Disabilities and Special Needs, or the

Disability Determination Services Unit of the State Agency of Vocational Rehabilitation.

(F) In addition to the following standards, the board shall establish minimum standards of performance to

be attained on examinations for an applicant to qualify for licensure:

(1) For FLEX examinations taken before June 1, 1985, the following standards apply:

(a) An applicant for permanent licensure shall obtain, in one sitting, a FLEX weighted average score of at

least seventy-five on the examination.

Please visit South Carolina Code of Laws for more information.

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South Dakota

Board of Medical and Osteopathic Examiners

101 N. Maine Avenue, Suite 301

Sioux Falls, SD 57104

Phone: (605) 367-7781

South Dakota Requirements

Educational Requirements: Primary source verification from a Board approved AOA program

Postgraduate Training: Applicants as of July 1, 1987 must successfully complete an approved

residency program in its entirety which would be no less than 3 years.

Examinations Accepted: COMLEX, NBOME, USMLE, FLEX

License Fee: $400 (2-year renewal)

Federation Credentials Verification Service (FCVS): Highly recommended

Reciprocity or Endorsement: None

Please visit South Dakota Department of Health for more information.

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Tennessee

Department of Health

710 James Robertson Parkway

Nashville, TN 32743

Contact: [email protected]

Tennessee Requirements

Before engaging in the practice of osteopathic medicine, a person shall submit an application to

the secretary of the board for a certificate of fitness to practice osteopathic medicine on a form

prescribed by the board in writing or via online application, which includes:

 The person's name, age, which shall not be less than eighteen (18) years, and residence;

 The name of the school of osteopathic medicine from which the person was graduated,

which shall have been in good repute as such at the time of the issuing of the person's

diploma, as determined by the board;

 The date of the person's diploma, evidence that such diploma was granted on personal

attendance and completion of the course of study approved by the board;

 Such other information as the board may require; and

 Sufficient evidence that the applicant is of good moral character.

(1) Each applicant shall pay a nonrefundable application fee as set by the board.

(2) On notice of acceptance, each applicant for examination shall pay an examination fee as set

by the board.

(3) Each applicant accepted by reciprocity will pay a reciprocity fee as set by the board.

Initial Licensure As An Osteopathic Physician

Consideration for initial licensure as a Doctor of Osteopathic Medicine requires that the

applicant shall submit to the Board the following materials:

 An application from the Board Administrative Office in which the applicant responds

truthfully and completely to every question or request for information along with all

documentation and fees to the Board Administrative Office. It is the intent of this rule

that all activities necessary to accomplish the filing of the required documentation be

completed prior to filing a licensure application and that all documentation be filed

simultaneously. This form will include the applicant’s name, current address, social

security number and age (which shall not be less than eighteen years of age).

 A clear and recognizable, recently taken, bust photograph which shows the full head, face

forward from at least the top of the shoulders up. The photograph must be signed by the

applicant.

 A graduate transcript from an accredited osteopathic medical school in good standing

with the American Osteopathic Association at the time of graduation (or its successor).

The transcript must be submitted directly from the school to the Board Administrative

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Office. The transcript must show that the degree has been conferred based upon the

applicant’s good repute and personal attendance and must carry the official seal of the

institution

 Evidence satisfactory to the Board of successful completion of a one (1) year internship

or postgraduate year one (PGY-1) in a hospital approved by the American Osteopathic

Association, American Medical Association or its accreditation program for medical

education, or the Joint Commission on the Accreditation of Hospitals. Such evidence

shall include the program director’s notarized verification of post graduate medical

training form included in the Board’s application packet.

 Evidence of good moral character. Such evidence shall include at least two (2) letters

from physicians who know the applicant and can attest to his or her moral character and

professional capability. The letters must be original and on the physician’s letterhead.

 Proof of United States or Canadian citizenship or evidence of being legally entitled to

live and work in the United States or evidence of citizenship and residency in a

N.A.F.T.A. participating country. Such evidence may include notarized copies of birth

certificates, naturalization papers or current H-1 visa status, or voter registration.

 The applicable application fee and state regulatory fee as provided in rule 1050-02-.02.

 All applicants shall submit or cause to be submitted a certificate of successful completion

of acceptable examination for licensure as governed by rule 1050-02-.06.

Please visit General Rules and Regulations Governing Practice of Osteopathy for more

information.

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Texas

Texas Medical Board

333 Guadalupe

Tower 3, Suite 610

Austin, TX 78701

Phone: (512) 305-7010

Contact: [email protected]

Texas Requirements

Sec.A155.003.AAGENERAL ELIGIBILITY REQUIREMENTS.

To be eligible for a license under this chapter, an applicant must present proof satisfactory to the

board that the applicant:

 is at least 21 years of age;

 is of good professional character and has not violated Section 164.051, 164.052, or

164.053;

 has completed:

o at least 60 semester hours of college courses, other than courses in medical

school, that are acceptable to The University of Texas at Austin for credit on a

bachelor of arts degree or a bachelor of science degree;

o the entire primary, secondary, and premedical education required in the country of

medical school graduation, if the medical school is located outside the United

States or Canada; or

o substantially equivalent courses as determined by board rule;

 is a graduate of a medical school located in the United States or Canada and approved by

the board;

 has either:

o successfully completed one year of graduate medical training approved by the

board in the United States or Canada; or

o graduated from a medical school located outside the United States or Canada and

has successfully completed two years of graduate medical training approved by

the board in the United States or Canada;

 has passed an examination accepted or administered by the board; and

 has passed a Texas medical jurisprudence examination as determined by board rule.

All medical or osteopathic medical education an applicant receives in the United States must be

accredited by an accrediting body officially recognized by the United States Department of

Education as the accrediting body for medical education leading to the doctor of medicine degree

or the doctor of osteopathy degree. This subsection does not apply to postgraduate medical

education or training

Please visit Texas Medical Board for more information.

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Utah

Utah Department of Commerce

Division of Occupational and Professional Licensing

160 East 300 South

Salt Lake City, UT 84111

Phone: (801) 530-6628

Contact: [email protected]

Utah Requirements

58-68-302. Qualifications for licensure.

An applicant for licensure as an osteopathic physician and surgeon, except as set forth in

Subsection (2), shall:

 submit an application in a form prescribed by the division, which may include:

o submissions by the applicant of information maintained by practitioner data

banks, as designated by division rule, with respect to the applicant;

o a record of professional liability claims made against the applicant and

settlements paid by or on behalf of the applicant; and

o authorization to use a record coordination and verification service approved by

the division in collaboration with the board;

 pay a fee determined by the department under Section 63J-1-504;

 be of good moral character;

 if the applicant is applying to participate in the Interstate Medical Licensure Compact

under Chapter 67b, Interstate Medical Licensure Compact, consent to a criminal

background check in accordance with Section 58-68-302.1 and any requirements

established by rule made in accordance with Title 63G, Chapter 3, Utah Administrative

Rulemaking Act;

 provide satisfactory documentation of having successfully completed a program of

professional education preparing an individual as an osteopathic physician and surgeon,

as evidenced by:

o having received an earned degree of doctor of osteopathic medicine from an AOA

approved medical school or college; or

o submitting a current certification by the Educational Commission for Foreign

Medical Graduates or any successor organization approved by the division in

collaboration with the board, if the applicant is graduated from an osteopathic

medical school or college located outside of the United States or its territories

which at the time of the applicant's graduation, met criteria for accreditation by

the AOA;

 satisfy the division and board that the applicant:

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o has successfully completed 24 months of progressive resident training in an

ACGME or AOA approved program after receiving a degree of doctor of

osteopathic medicine required under Subsection (1)(e); or

 has successfully completed 12 months of resident training in an ACGME

or AOA approved program after receiving a degree of doctor of

osteopathic medicine as required under Subsection (1)(e);

 has been accepted in and is successfully participating in progressive

resident training in an ACGME or AOA approved program within Utah, in

the applicant's second or third year of postgraduate training; and

 has agreed to surrender to the division the applicant's license as an

osteopathic physician and surgeon without any proceedings under Title

63G, Chapter 4, Administrative Procedures Act, and has agreed the

applicant's license as an osteopathic physician and surgeon will be

automatically revoked by the division if the applicant fails to continue in

good standing in an ACGME or AOA approved progressive resident

training program within the state;

 pass the licensing examination sequence required by division rule, as made in

collaboration with the board;

 be able to read, write, speak, understand, and be understood in the English language and

demonstrate proficiency to the satisfaction of the board, if requested by the board;

 meet with the board and representatives of the division, if requested for the purpose of

evaluating the applicant's qualifications for licensure;

 designate:

o a contact person for access to medical records in accordance with the federal

Health Insurance Portability and Accountability Act; and

o an alternate contact person for access to medical records, in the event the original

contact person is unable or unwilling to serve as the contact person for access to

medical records; and

 establish a method for notifying patients of the identity and location of the contact person

and alternate contact person, if the applicant will practice in a location with no other

persons licensed under this chapter.

Please visit Utah State Legislature for more information.

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Vermont

Vermont Secretary of State

Osteopathic Physicians

89 Main Street, 3

Floor

Montpelier, VT 05620-3420

Phone: (802) 828-2373

Contact: [email protected]

Vermont Requirements

§ 1831. Qualifications for licensure

 To be eligible for licensure as an osteopathic physician, an applicant shall have attained

the age of majority and shall provide evidence, acceptable to the board, that he or she has

satisfactorily completed all of the following:

o A course of study in osteopathic education from an accredited school or college of

osteopathic medicine as evidenced by a graduation certificate.

o Documentation of no less than one year of an approved program of postgraduate

training.

 In addition to the requirements of subsection (a) of this section, an applicant shall pass

the Comprehensive Osteopathic Medical Licensing Examination - USA (COMLEX) or

the United States Medical Licensing Examination (USMLE) or their successor or

equivalent examinations approved by the board unless the applicant is exempt from all or

a part of the examination under the provisions of section 1832 or 1832a of this title.

 In addition to the requirements of this section, an applicant shall present evidence of good

character and competence relating to his or her fitness to practice osteopathic medicine

from the chief of service and two other active physician staff members at the hospital or

institution where the applicant was last affiliated, if the applicant has been affiliated with

a hospital or institution. The board may seek evidence relating to the character and

competence of the applicant from other sources. At the discretion of the board, the

applicant may present evidence relating to character and competence from different

sources.

§ 1832. Examination

 The board or its designee shall administer examinations to applicants for licensure at least

twice each year if applications are pending. Examinations shall be designed and

implemented to ensure that all applicants are admitted to practice unless there is good

reason to believe that practice by a particular applicant would be inconsistent with the

public health, safety, and welfare; they shall not be designed for the purpose of limiting

the number of licensees.

Please visit Vermont Statutes for more information.

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Virginia

Board of Medicine

9960 Maryland Drive, Suite 300

Henrico, Virginia 23233-1463

Phone: (800) 533-1560

Contact: [email protected]

Virginia Requirements

18VAC85-20-120. Prerequisites to licensure.

Every applicant for licensure shall:

 Meet the educational requirements specified in 18VAC85-20-121 or 18VAC85-20-122

and the examination requirements as specified for each profession in 18VAC85-20-140;

 File the complete application and appropriate fee as specified in 18VAC85-20-22 with

the executive director of the board; and

 File the required credentials with the executive director as specified below:

o Graduates of an approved institution shall file:

 Documentary evidence that he received a degree from the institution; and

 A complete chronological record of all professional activities since

graduation from professional school, giving location, dates, and types of

services performed.

o Graduates of an institution not approved by an accrediting agency recognized by

the board shall file:

 Documentary evidence of education as required by 18VAC85-20-122;

 A translation made and endorsed by a consul or by a professional

translating service of all such documents not in the English language; and

 A complete chronological record of all professional activities since

graduation from professional school, giving location, dates, and types of

services performed.

18VAC85-20-140. Examinations, general.

 A Doctor of Medicine or Osteopathic Medicine who has passed the examination of the

National Board of Medical Examiners or of the National Board of Osteopathic Medical

Examiners, Federation Licensing Examination, or the United States Medical Licensing

Examination, or the examination of the Licensing Medical Council of Canada or other

such examinations as prescribed in §54.1-2913.1 of the Code of Virginia may be

accepted for licensure.

Please visit Virginia Board of Medicine for more information.

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Washington

Washington State Department of Health

20425 72

Avenue South, Building 2, Suite 310

Kent, WA 98032

Phone: (800) 525-0127

Washington Requirements

Licenses—Application requirements.

 A license shall be issued by the secretary authorizing the holder to practice osteopathic

medicine and surgery. In order to procure a license to practice osteopathic medicine and

surgery, the applicant must provide the board evidence that a diploma has been issued to

the applicant by an accredited school of osteopathic medicine and surgery, approved by

the board. The application shall be made upon a form prepared by the secretary, with the

approval of the board, and it shall contain such information concerning said osteopathic

medical instruction and the preliminary education of the applicant as the board may by

rule provide. Applicants who have failed to meet the requirements must be rejected.

 An applicant for a license to practice osteopathic medicine and surgery must furnish

evidence satisfactory to the board that he or she has served for not less than one year in a

postgraduate training program approved by the board.

 In addition, the applicant may be required to furnish evidence satisfactory to the board

that he or she is physically and mentally capable of safely carrying on the practice of

osteopathic medicine and surgery. The board may require any applicant to submit to such

examination or examinations as it deems necessary to determine an applicant's physical

and/or mental capability to safely practice osteopathic medicine and surgery. The

applicant shall also show that he or she has not been guilty of any conduct which would

constitute grounds for denial, suspension, or revocation of such license under the laws of

the state of Washington.

 Nothing in this section shall be construed as prohibiting the board from requiring such

additional information from applicants as it deems necessary.

 Nothing in this chapter shall be construed to require any applicant for licensure, or any

licensee, as a requisite of retaining or renewing licensure under this chapter, to be a

member of any political and/or professional organization.

Examinations.

Applicants for a license to practice osteopathic medicine and surgery must successfully

complete an examination prepared or approved by the board. The examination shall be

conducted in the English language, shall determine the applicant's fitness to practice osteopathic

medicine and surgery, and may be in whole or in part in writing or by practical application on

those general subjects and topics of which knowledge is commonly and generally required of

applicants who have obtained the doctor of osteopathic medicine and surgery conferred by

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accredited schools of osteopathic medicine and surgery approved by the board. If an examination

does not encompass the subject of osteopathic principles and practice, the applicant shall be

required to complete the board-administered examination. The board may prepare and administer

or approve preparation and administration of examinations on such subjects as the board deems

advisable. The examination papers of any examination administered by the board shall form a

part of the applicant's records and shall be retained as determined by the secretary for a period of

not less than one year. All applicants for examination or reexamination shall comply with

administrative procedures, administrative requirements, and fees determined as provided in

RCW 43.70.250 and 43.70.280.

Please visit Washington State Legislature for more information.

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West Virginia

West Virginia Board of Osteopathic Medicine

405 Capitol Street #402

Charleston, WV 25301

Phone: (304) 558-6095

West Virginia Requirements

With the application, you will also need to:

 Arrange for your National Board Scores to be sent directly to the Board office from

the National Board of Osteopathic Medical Examinersin Illinois (1-773-714-0622).

 Mail or upload a copy of your Medical School Diploma.

 Download a Medical School Verification form.

o Fill in the top portion with the pertinent information.

o Copy and forward it to each medical school you have attended for them to complete and

return to our office.

 Download a Postgraduate Education Verification form.

o Fill in the top portion with the pertinent information.

o Copy and forward it to each hospital where you participated in any postgraduate training

program for them to complete and return to our office.

 Provide documentation of completion of the first year of postdoctoral training (copy

of Intern Certificate or Letter from Director of Medical Education program).

o One year of clinical training must be in a program approved by the American

Osteopathic Association, which may also include a program approved under the

Association's Resolution 42 procedure;

o Postgraduate clinical training in a program approved by the ACGME and 40 hours of

CME in osteopathic medicine with osteopathic manipulative treatment in courses

approved, and classified as category 1A by the AOA (with at least 25% of those hours on

hands-on osteopathic manipulation)

 Download a License Verification form or visit www.veridoc.org to request verification of

licensure online.

o Fill in the top portion with the pertinent information

o Copy and forward it to all states in which you are, or have been licensed, in order for

them to complete and send the request to our office.

o Training licenses must also be verified as well as full DO licenses.

 Mail or upload documentation of name change (e.g. marriage certificate or divorce

document).

o Note: If your name has changed, and any of your licensure documentation (internship

certificate, medical school diploma, other licensure certificates, etc.) shows a different

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name, you will need to provide documentation of this change (e.g. marriage certificate or

divorce document).

 Mail or upload a Malpractice Liability Claims form(s).

 Upload a recent (within 60 days) passport quality color Photograph.

 Submit a $400.00 Application Fee.

 Submit a Processing Fee that is 2.25% of the total fee.

 Effective July 1, 2017 any new applicant must obtain a Criminal Background

Check. Pursuant to West Virginia Code § 24 CSR 2-3.3.j. Present to one of the 31

IdentoGO Centers in West Virginia www.identogo.com or MorphoTrust in South

Charleston, West Virginia. Advise them the reports are to be sent to WV Board of

Osteopathic Medicine. The cost will be $44.50.

o There has been a recent informational update regarding the fingerprinting options.

o State and Federal reports are required.

o You will need the Service Code: 228QBF in order to process the fingerprints.

Please visit WV Board of Osteopathic Medicine for more information.

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Wisconsin

Department of Safety and Professional Services

4822 Madison Yards Way

Madison, WI 53705

Phone: (608) 266-2112

Wisconsin Requirements

Every person applying for regular license to practice medicine and surgery shall make

application therefor on forms provided for this purpose by the board and shall submit to the

board the following:

 A completed and verified application form.

 Verified documentary evidence of graduation from a medical or osteopathic school

approved by the board. The board recognizes as approved those medical or osteopathic

schools accredited at the time of the applicant’s graduation therefrom by the American

Osteopathic Association, or the Liaison Committee on Medical Education, or their

successor

 Verification of satisfactory completion by the applicant of 24 months of postgraduate

training in one or more programs accredited by the Accreditation Council for Graduate

Medical Education, the American Osteopathic Association, or a successor organization;

or documentary evidence that the applicant is currently enrolled in a postgraduate training

program accredited by the Accreditation Council for Graduate Medical Education, the

American Osteopathic Association, or the Royal College of Physicians and Surgeons of

Canada, or a successor organization and has received credit for 12 consecutive months of

postgraduate training in that program and an unrestricted endorsement from the

postgraduate training director that the applicant is expected to complete at least 24

months of postgraduate training

 An unmounted photograph, approximately 8 by 12 cm., of the applicant taken not more

than 60 days prior to the date of application and bearing on the reverse side the statement

of a notary public that such photograph is a true likeness of the applicant.

 A verified statement that the applicant is familiar with the state health laws and the rules

of the department of health services as related to communicable diseases.

Please visit Wisconsin Legislature for more information.

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Wyoming

Wyoming Board of Medicine

130 Hobbs Avenue, Suite A

Cheyenne, WY 82002

Phone: (307) 778-7053

Contact: [email protected]

Wyoming Requirements

Section 4. Eligibility for licensure.

General requirements.

 To be eligible for consideration for licensure, an applicant shall submit an application on

the form or forms supplied or approved in advance by the board.

 Any application, to be eligible for consideration, shall be accompanied by the required

fee in immediately negotiable funds.

 For an application to be considered complete, all documents, reports and related materials

must be received in the board’s office and meet all requirements set forth in the Act and

the rules adopted by the board.

 References shall be submitted on a form approved, and contain information as specified,

by the board.

o Three (3) original references from physicians are required including at least two

(2) from physicians with whom the applicant has practiced medicine within the

past three (3) years. In exceptional circumstances the board may waive one (1) or

more of the required reference letters. References from physicians with whom the

applicant has a current or prospective financial, business or family relationship are

not acceptable.

o All references shall be on a form prescribed by the board, dated within six (6)

months of the application date and signed by the referring physician.

o If a submitted reference is incomplete or otherwise fails to provide sufficient

information about the applicant, an applicant may be required to submit one or

more references in addition to those required in subparagraph (A).

 An application, to be considered, shall be complete in all respects no later than fifteen

(15) business days prior to the licensure interview date, should a licensure interview by

required by these rules.

 The board shall issue a written notice of ineligibility to any applicant who does not meet

the eligibility requirements, or has otherwise failed to submit an application which meets

the requirements, of the act or these rules.

 Applications shall remain on active status for six (6) calendar months from the date the

application document is received in the board office. The applicant is eligible for a

licensure interview with the board, if one is required by these rules, at any time within the

six (6) month period following the date the application is complete pursuant to Ch. 1,

Section 4(a)(iii) of these rules.

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 Pursuant to 8 U.S.C. 1621, any applicant for licensure shall verify his or her lawful

presence in the United States on a form approved or prescribed by the board.

 Any applicant for licensure or renewal of licensure shall, pursuant to W.S. 33-1-114,

provide his or her Social Security number as part of any application for licensure.

o To be eligible for consideration for licensure, an applicant shall demonstrate in his

or her application that he or she meets each and all of the requirements of the act

including, but not limited to, those requirements set forth in W.S. 33-26-303, and

these rules.

o All applicants for physician licensure shall apply only through the F.C.V.S. and

supply additional information as requested by the Board

Please visit Board of Medicine Rules for more information.