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State Requirements

Medical License Requirements by State

State medical boards are constantly changing their requirements for medical licensure. Below is a brief list of current state requirements.
If you do not wish to research all these requirements, contact us to get started on your licensure process.

 

Washington Washington Oregon California Nevada Utah Arizona Alaska Hawaii Colorado New Mexico Wyoming Idaho Montana North Dakota South Dakota Nebraska Kansas Oklahoma Texas Louisanna Arkansas Misouri Iowa Minnesota Wisconson Illinios Kentucky Tennessee Mississippi Alabama Florida Georgia South Carolina North Carolina Virginia West Virginia Indiania Michigan Ohio Pennsylvania New York Vermont New Hamphshire Maine Massachusetts Rhode Island Connecticut New Jersey Delaware Maryland Physician Licensing Service Image Map

 

State

Minimum Postgraduate
Training Required

Number of attempts at Licensing Examination

Time Limit for Completing Licensing Examination Sequence

Alabama
(334) 242-4116
Application packet $20
Application fee $175 (non-refundable)
Criminal Background check $65
Accepts FCVS
1 year; 3 years IMG – 3 years training at an accredited training program 4th attempt at USMLE Step 3 following proof of formal training after the 3rd attempt; 10 attempts at all USMLE Steps. No limit on COMLEX 7 years to complete all USMLE Steps; 10 years for MD/PhD candidates. No limit on COMLEX
Alaska
(907) 269-8163
Application fee $200 (non-refundable) License fee $300
Accepts FCVS
2 years; 3 years IMG 2 attempts per USMLE Step; 2 attempts per COMLEX Level 7 years to complete all USMLE Steps; 10 years for MD/PhD candidates. 7 years to complete COMLEX
Arizona Medical
(480) 551-2700
Application fee $500
Accepts FCVS
1 year; 3 years IMG No limit on USMLE 7 years to complete USMLE if initial licensure; No limit if already licensed
Arizona Osteopathic
(480) 657-7703
Application fee $400
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
Arkansas
(501) 296-1802
Application fee $500
Does not accept FCVS
1 year; 3 years IMG unless currently enrolled in training program through University of Arkansas for Medical Sciences 3 attempts per USMLE Step; 3 attempts per COMLEX Step 7 years to complete USMLE; 10 years for MD/PhD candidates. 7 Years to complete the COMLEX
California Medical
(916) 263-2382
(800) 633-2322
Licensing fee $808
Application fee $491 (non-refundable)
Limited acceptance of FCVS
1 year; 2 years IMG 4 attempts at USMLE Step 3 Passing scores on a written/computerized exam shall be valid for a period of 10 years from the month of the examination
California Osteopathic
(916) 928-8390
Application fee $249 (non-refundable)
Limited Acceptance of FCVS
1 year No limit on COMLEX No limit on COMLEX
Colorado
(303) 894-7690
Application fee $569
Accepts FCVS
1 year; 3 years IMG No limit on USMLE 7 years from first sitting to complete USMLE or COMLEX; 10 years for MD/PhD or DO/PhD candidates
Connecticut
(860) 509-7603
Application fee $565
Accepts FCVS
2 years No limit on USMLE;
No limit on COMLEX
7 years to complete USMLE; No limit on COMLEX
Delaware
(302) 744-4500
See chart on FCVS website for fees
Accepts FCVS
1 year; 3 years IMG No information at this time No information at this time
Washington, DC
(202) 724-4900
Application fee $305
License fee $500
Accepts FCVS
1 year; 3 years IMG 3 attempts at USMLE Step 3 after which one additional year of postgraduate training is required. No limit on COMLEX 7 years to complete USMLE; No limit on COMLEX
Florida Medical
(850) 245-4131
Application fee $547
Accepts FCVS
1 year; 2 years IMG No limit on USMLE No limit on USMLE
Florida Osteopathic
(850) 245-4161
Call for application fee
Accepts FCVS
1 year in an AOA-approved program No limit on COMLEX No limit on COMLEX
Georgia
(404) 656-3913
Application fee $400
Accepts FCVS
1 year; 1 year IMG if international school is on the approved list of medical schools/3 years if medical school is not on the approved list of medical schools 3 attempts per USMLE Step; No limit on COMLEX 7 years to complete USMLE; 9 years to complete USMLE if in MD/PhD program. No limit on COMLEX
Guam
(671) 735-7406
(671) 735-7408
Application fee $150
License fee $250
Accepts FCVS
1 year; IMG applicants must complete 36 months progressive approved training in US program. No information at this time No information at this time
Hawaii
(808) 586-3000
Call for application and license fees
Accepts FCVS
1 year; 2 years IMG No limit on USMLE or COMLEX 7 years to complete USMLE; No limit on COMLEX
Idaho
(208) 327-7000
Licensure fee $500 for endorsement
Accepts FCVS
Requires Uniform Application
1 year; 3 years IMG 2 attempts per USMLE Step; No limit on COMLEX 7 years to complete USMLE (10 years for MD/PhD candidates); No limit on COMLEX
Illinois
(217) 782-8556
Application fee $300
Accepts FCVS
2 years 5 attempts at all USMLE Steps combined; 5 attempts at COMLEX Levels combined 7 years to complete USMLE; No limit on COMLEX
Indiana
(317) 234-2060
Application fee $250
Accepts FCVS
1 year; 2 years IMG 3 attempts per USMLE Step; 5 attempts per COMLEX Level 10 years to complete USMLE; 7 years to complete COMLEX
Iowa
(515) 281-5171
Licensure fee $505
Accepts FCVS
Utilizes Uniform Application
1 year; 2 years IMG 6 attempts at both USMLE Step 1 and 2; 3 attempts at USMLE Step 3. 6 attempts at both COMLEX Levels 1 and 2; 3 attempts at COMLEX Level 3. Three years of approved postgraduate training required if outside the attempt limit. 10 years to complete USMLE or COMLEX; 10 years for MD/PhD or DO/PhD candidates. Note: Board certification by ABMS or AOA is required if the applicant has not met the specified time period.
Kansas
(785) 296-7413
Application fee $300
Accepts FCVS
1 year; 3 years IMG (minimum 2 years must have been in US program) 3+ attempts at USMLE Step 3 or COMLEX Level 3 10 years to complete USMLE or COMLEX
Kentucky
(502) 429-7150
Application fee $300
Requires FCVS
2 years 4 attempts per USMLE Step; 4 attempts per COMLEX Level No limit on USMLE or COMLEX
Louisiana
(504) 568-6820
License fee $382 (non-refundable)
Requires FCVS
1 year; 3 years IMG No limit at USMLE Step 1or COMLEX Level 1; 4 attempts each at USMLE Steps 2 and 3 or COMLEX Levels 2 and 3 10 years to complete USMLE or COMLEX
Maine Medical
(207) 287-3601
Licensure & Registration fee $700
Requires FCVS
US/Canadian medical school graduates who graduated after 7/1/04 must complete 3 years of postgraduate training. (Those who graduated before 7/1/04 are only required to complete 2 years of PGT). 3 years for IMG 3+ attempts at USMLE Step 3. More than 3 attempts requires a request for a waiver. 7 years to complete USMLE. More than 7 years requires a request for a waiver
Maine Osteopathic
(207) 287-2480
Application fee $350 by endorsement
Accepts FCVS
1 year in AOA approved program No limit on COMLEX No limit on COMLEX
Maryland
(800) 492-6836
Licensure $790 US/Canadian Grads $890 for IMGs
Accepts FCVS
1 year; 2 years IMG 4 attempts at each USMLE Step or COMLEX Level 10 years to complete USMLE or COMLEX
Massachusetts
(781) 876-8200
Licensure $600
Accepts FCVS
2 year; 2 years IMG 3 attempts at USMLE Step 3 or COMLEX (See Board Regulations 243 CMR 2.02 (3)(b).) 7 years to complete USMLE or COMPLEX. May request a waiver under specific conditions. (See Board Regulations 243 CMR 2.02 (3)(c)(2).)
Michigan Medical
(517) 335-0918
Professional license $150
Controlled substance license $85
Fee for both $235
Accepts FCVS
2 years No limit on USMLE 5 years to pass USMLE Step 3
Michigan Osteopathic
(517) 335-0918
Professional license $150
Controlled substance license $85
Fee for both $235
Accepts FCVS
1 year in AOA approved program No limit on COMLEX No limit on COMLEX
Minnesota
(612) 617-2130; Hearing impaired
(800) 627-3529
Licensure fee $392
Accepts FCVS
1 year; 2 years IMG 3 attempts at each USMLE Step; No limit on COMLEX. Effective 04/11/08, 4 attempts allowed if current license in another state and current certification by specialty board of ABMS, AOABPE, RCPSC, CFPC. Beginning 8/1/07 USMLE Step 3 must be passed within five years of Step 2 or before the end of residency training.
Mississippi
(601) 987-3079
Online application fee $550
Accepts FCVS
1 year; 1-3 years IMG 3 attempts at USMLE Step 3; No limit on COMLEX 7 years to complete USMLE; No limit on COMLEX
Missouri
(573) 751-0098
By examination $300
Accepts FCVS
1 year; 3 years IMG 3 attempts at USMLE Step 3; 3 attempts on COMLEX 7 years to complete USMLE (waived for MD/PhD candidates); No limit on COMLEX
Montana
(406) 841-2364
(406) 841-2361
Licensure fee $325
Accepts FCVS
2 years; 3 years IMG 3 attempts at USMLE Step 3; No limit on COMLEX 7 years to complete USMLE (exceptions possible for MD/PhD candidates); No limit on COMLEX
Nebraska
(402) 471-2118
Licensure by examination $300
Licensure by reciprocity $300
Does not accept FCVS
1 year; 3 years IMG 4 attempts+ at each USMLE Step; 4 attempts+ at each COMLEX Level 10 years to complete USMLE or COMLEX beginning with date 1st Step/Level is passed.
Nevada Medical
(775) 688-2559
For specific fee information please contact the board or check www.medboard.nv.gov
Accepts FCVS
3 years *An unlimited license may be granted to currently enrolled residents in a post graduate training program in the U.S. or Canada, that have completed at least 24 months of progressive post graduate training and meet all requirements for an unlimited license in the state of Nevada including having passed all three (3) steps of USMLE within the time period allowed by NAC 630.080 and commit in writing to the Nevada State Board of Medical Examiners that they will complete the program and provide satisfactory completion of the program within sixty (60) days after the scheduled completion of the program. Must pass all 3 Steps of USMLE in not more than a total of 9 attempts and must pass Step 3 in not more than a total of 3 attempts MD must pass all Steps of the exam within 7 years after the date on which the applicant first passes any Step of the exam; PhD must pass all Steps of the exam within 10 years after the date on which the applicant first passes any Step of the exam
Nevada Osteopathic
(702) 732-2147
Contact the medical board for fee information.
Accepts FCVS
3 years for full license OR 2 years if resident signs commitment to practice in NV No limit on COMLEX No limit on COMLEX
New Hampshire
(603) 271-1203
Application fee $300
Requires FCVS
2 years 3 attempts at each USMLE Step or COMLEX Level No limit on USMLE or COMLEX
New Jersey
(609) 826-7100
Contact the state board for licensure information and fees
Accepts FCVS
US and IMG graduates who graduated after 7/1/03 must complete 2 years of postgraduate training and have signed a contract for a 3rd year in an accredited program. At least 2 of the years must be in the same field. Graduates prior to 7/1/03: 1 year; 3 years IMG. 5 attempts at USMLE Step 3; No information available on COMLEX 7 years to complete USMLE; No information available on COMLEX
New Mexico Medical
(505) 476-7220
Contact the board for specific fee information
Accepts FCVS
2 years 6 attempts per USMLE Step 7 years to complete USMLE; 10 years for MD/PhD candidates
New Mexico Osteopathic
(505) 476-4950
Contact the state board for licensure and fee information
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
New York
(518) 474-3817 Ext. 560
The fee for licensure is $735
Accepts FCVS for domestic graduates
FCVS required for IMGs
1 year; 3 years IMG No limit on USMLE or COMLEX No limit on USMLE or COMLEX
North Carolina
(919) 326-1100
Full licensure fee $350
1 year; 3 years IMG 3 attempts per USMLE Step; 3 attempts per COMLEX Level No time limit for passing all three steps
North Dakota
(701) 328-6500
Application fee $200
Accepts FCVS
1 year; 3 years IMG 3 attempts at each USMLE Step or COMLEX Level 7 years to complete USMLE or COMLEX
Northern Mariana Islands
(670) 664-4811
Contact the State Board for licensure or fee information
Does not accept FCVS
No information available at this time No information available at this time No information available at this time
Ohio
(614) 466-3934
Contact State Board for licensure or fee information
Requires FCVS
1 year; 2 years IMG Four attempt limit on each Step or Level on USMLE or COMLEX 10 years to complete USMLE or COMLEX (possible waiver good cause if over 10 years)
Oklahoma Medical
(800) 381-4519
Application fee $400
Temporary approved $200
Accepts FCVS
1 year; 2 years IMG 3 attempts at each USMLE Step
(Step 2 = CK & CS)
10 years to complete USMLE
Oklahoma Osteopathic
(405) 528-8625
Application fee $575
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
Oregon
(971) 673-2700
License application fee $375
Accepts FCVS
1 year; 3 years IMG 3 attempts at USMLE step 3/COMPLEX level 3. 4 th attempt after additional one year postgraduate training. Waiver of attempt requirement may be available if ABMS/AOA certified. 7 years to complete USMLE or COMLEX (possible waiver for dual degree candidates;
individuals with personal illness; current certification by ABMS or AOA; or completion of postgraduate training equivalent to number of years to a dual degree program)
Pennsylvania Medical
(717) 787-2381
Application fee accredited medical college $35
Unaccredited medical college $85
Accepts FCVS
2 years; 3 years IMG No limit No limit
Pennsylvania Osteopathic
(717) 783-4858
License/exam fee $215
Application fee $45
Does not accept FCVS
1 year No limit on COMLEX No limit on COMLEX
Puerto Rico
(787) 782-8989
Contact the state board for licensure or fee information
Does not accept FCVS
1 year No limit on USMLE USMLE Step 3 shall be passed within 7 years of the date of passing Step 1
Rhode Island
(401) 222-3855 / Fax:(401) 222-2158
Application fee $1090
Controlled substance registration $200
Requires FCVS
2 years; 3 years IMG 3 attempts at each USMLE Step; 3 attempts at each COMLEX Level 7 years to complete USMLE; No information available on COMLEX
South Carolina
(803) 896-4500
Application fee $600
Requires FCVS
1 year; 3 years IMG 4 attempts per USMLE Step and COMLEX Level 10 years to complete USMLE or COMLEX
South Dakota
(605) 367-7781
Application fee $200
Highly recommends FCVS for International Medical Graduates only.
Successful completion of residency program 3 attempts per USMLE Step and COMLEX Level 7 years to complete USMLE or COMPLEX; 10 years for Dual Program Degree MD-PhD Applicant
Tennessee Medical
(615) 532-4384
Application fee $410
Accepts FCVS
1 year; 3 years IMG No limit on USMLE 7 years to complete USMLE
Tennessee Osteopathic
(615) 532-4384
Application fee $410
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
Texas
(512) 305-7030
Application fee $1002
Accepts FCVS
1 year; 2 years IMG 3 attempts at each USMLE Step or COMLEX Level. (Exceptions may apply for applicants who held a Texas Physician in Training permit on or before 9/1/2005, or who have been licensed in good standing in another state for 5 years. See TMB website for more informationwww.tmb.state.tx.us) 7 years+ to complete the USMLE or COMLEX. (Exceptions may apply for applicants who are especially board certified or who completed combined MD/PhD programs. See TMB website for more informationwww.tmb.state.tx.us)
Utah Medical
(801) 530-6628
Application fee $200
Requires FCVS
2 years 3 attempts at USMLE Step 3 7 years to complete USMLE; 10 years for MD/PhD candidates
Utah Osteopathic
(801) 530-6628
Application fee $200
Requires FCVS
2 years 3 attempts at each COMLEX Level 7 years to complete COMLEX; 10 years for DO/PhD candidates
Vermont Medical
(802) 657-4220
Licensure fee $500
Accepts FCVS
1 year; 3 years IMG 3 attempts at USMLE Step 3 7 years to complete USMLE
Vermont Osteopathic
(802) 828-2373
Licensure fee $400
Accepts FCVS
1 year rotating internship or 3 year residency program No information available at this time No information available at this time
Virgin Islands
(340) 774-0117
SPEX Exam fee $1300
Requires FCVS
6 months required after 2 attempts for SPEX exam Must take SPEX and an oral exam. 2 attempts 3 years to pass the 2 attempts allowed re-examinations; 1 year limitation to take the oral exam after passing written.
Virginia
(804) 662-9908
Licensure fee $302
Accepts FCVS
1 year; 2 years IMG No limit on USMLE 10 years to complete USMLE; Greater than 10 years if candidate is ABMS certified.
Washington Medical
(360) 236-2750
Application fee $325
Accepts FCVS
2 years 3 attempts at USMLE Step 3 7 years+ to complete USMLE
Washington Osteopathic
(360) 236-4945
Licensure fee $675
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
West Virginia Medical
(304) 558-2921 ext. 221
Licensure fee $400
Accepts FCVS
1 year; 3 years IMG 3 attempts per USMLE Step 10 years to complete USMLE
West Virginia Osteopathic
(304) 723-4638
Reciprocity or Endorsement $200
Does not accept FCVS
1 year No limit on COMLEX No limit on COMLEX
Wisconsin
(608) 266-2112
Initial fee $125
Accepts FCVS
1 year 3+ attempts per USMLE Step; N/A on COMLEX USMLE Step 3 shall be passed within 10 years of the date of passing Step 1; N/A on COMLEX
Wyoming
(307) 778-7053
Licensure fee $600
Requires FCVS
2 year (1 year if applicant has current certification by an ABMS or AOABOS/BOC specialty board, or continuous licensure in good standing in one or more states and/or D.C. for the preceding 5 years.) Seven total attempts on USMLE or COMLEX in seven years Seven years (eight years if in combined DO or MD/PhD program)

 

*Please note exceptions for the following states regarding USMLE time limit requirements:

–          CONNECTICUT: USMLE time limit is determined by where the applicant sits for the USMLE. If applicant sits for step 3 in CT, the limit is 7 years. If the applicant completes the exam in another state, there is no limit on completion time.

–          KANSAS: USMLE time limit is determined by where the applicant sits for the USMLE. If applicant sits for step 3 in KS, the limit is 7 years. If the applicant completes the exam in another state, there is no limit on completion time.

–          MISSISSIPPI: USMLE time limit is determined by where the applicant sits for the USMLE. If applicant sits for step 3 in MS, the limit is 7 years. If the applicant completes the exam in another state, there is no limit on completion time.

–          WASHINGTON: USMLE time limit is determined by where the applicant sits for the USMLE. If applicant sits for step 3 in WA, the limit is 7 years. If the applicant completes the exam in another state, there is no limit on completion time.

**Please note the exception for the following state(s) regarding PGY requirements:

–          MICHIGAN: PGY requirements are 3 years for IMGif ECFMG was passed prior to 1988 or if not licensed in another state by 5/10/86.

 

Note: The State Medical License Requirements listed here are resourced from the Federation of State Medical Boards website and are subject to change without notice. Last updated 11/2012. If you notice any discrepancies in this information, please use our contact form to advise us of the changes accordingly.