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CHART OF PHYSICIAN LICENSING REQUIREMENTS BY STATE

*Alabama through Mississippi (first 25 states) (completed chart to be published in Visalaw.com’s healthcare immigration newsletter for March) 

State

By Endorsement/ reciprocity?

ECFMG certificate Required or considered?

Which

Qualifying exams?

Other

Alabama

Alabama State Board of Medical Examiners
Larry D. Dixon, Executive Administrator
P.O. Box 946
Montgomery, AL 36101-0946
(street address: 848 Washington Ave., 36104)
(334) 242-4116 / Fax:(334) 242-4155
(800) 227-2606
www.albme.org

 

Yes

 

If exams taken after 1/1/2000 must complete all USMLE parts

 

Combinations of other exams are accepted before 1/1/2000 (parts of NBME/USMLE, FLEX, etc., according to state chart)

 

FLEX, NBOME, LMCC

 

If exams taken before 1/1/2000 (passing score is minimum of 75 at each exam):

(a) NBME Part 1 or USMLE step 1; plus NBME Part 11 or USMLE step 2; plus NBME Part III or USMLE Step 3

 

OR

 

(b) FLEX component 1; plus USMLE step 3

 

OR

 

(c) NBME Part 1 or USMLE Step 1; plus

NBME Part 11 or USMLE Step 2; Plus FLEX Component 2

 

 

 

Yes

 

If not LCME accredited

 

Except some schools that are not approved

USMLE part 1,2,3

 

OR

 

FLEX, NBOME, LMCC

Diploma or evidence of graduation from an LCME/AMA accredited school or ECFMG

 

Attendance in residency program or clinical program of instruction or clinical rotations at a medical education facility (as part of schooling)

PLUS

1 year of post graduate residency training in an accredited program

 

certain applicants who have not passed a written state licensing exam, USMLE or other within 10 years prior to application will take the SPEX (Special purpose examination) and achieve score of 75+ or be certified by the American Board of Medical Specialties

Alaska

Alaska State Medical Board
Leslie G. Abel, Executive Administrator
3601 C Street, Suite 722
Anchorage, AK 99503-5986
(907) 269-8163 / Fax:(907) 269-8196
http://www.dced.state.ak.us/occ/pmed.htm

Yes

 

For doctors licensed in another US state or Canadian province exam may be waived if they passed an equivalent exam to the USMLE or have passed one of the following exams: NBME, FLEX or NBOME

 

 

Yes

 

Required from all foreign graduates

USMLE Step 3

 

Minimum 75

Successful graduation from an accredited US/ Canadian medical school

 

If graduated prior to 1/1/1995 – 1 year of postgraduate training, if graduated after 1/1/1995 – 2 years of postgraduate training

 

If foreign graduate – must graduate from a medical school listed in the World Health Organization Directory

Plus 3 years of postgraduate training in accredited programs in the US or Canada

 

All applicants must verify all medical licenses in the US and international

Arizona

 

Arizona Board of Medical Examiners
Claudia Foutz, Executive Director
9545 East Doubletree Ranch Road
Scottsdale, AZ  85258
(480) 551-2700 / Fax: (480) 551-2701
www.bomex.org  

Yes

 

With exams combinations as follows (minimum passing score of each exam is 75):

 

NBME Parts 1+2 AND USMLE step 3 or component n or FLEX (with scaled score of 75) or

 

Flex component I and USMLE step 3 (with scaled score of 75)

 

Or

 

NBME Part one or USABLE Step 1 (with scaled score of 75)

AND

NBME Part 2 or USMLE Step 2 (with scaled score of 75)

AND

NBME Part 3 or USMLE step 3 or FLEX component II (with a scaled score of 75)

 

 

 

Yes

 

For all non-approved medical school graduates

Except if applicant completed fifth pathway program

USMLE

Part 1,2,3

Minimum 75 in all parts; taken between a 7 year period

 

Or be certified by the licensing medical council of Canada, or passed the FLEX

If applicant took the FLEX exam prior to 1/1/1985 must have passed with minimum of 75. If FLEX taken after 12/1/1984 both component I and n must have been passed between a 5 year period and minimum of 75.

US/Canadian graduates: 12 months hospital approved internship (approved by the Accreditation Council for Graduate Medical Education or a similar American or Canadian entity) + passage of NBME, FLEX, USMLE 1+2+3 and State written/oral examination

 

 

Endorsement applicants who have not passed a written state licensing exam, USMLE or other within 10 years prior to application will take the SPEX (Special purpose examination)

 

Graduates of non-approved schools must prove proficiency in English + ECFMG + FLEX + USMLE 1+2+3 + fifth pathway program or 36 months of full time assistant professor or higher position in an approved school or medicine

Plus (if fifth pathway program is taken, ECFMG certification not needed)

 

24 months approved hospital internship, residency or clinical fellowship program for a total of 36 month unless successfully completed a fifth pathway program or serves as a full time assistant professor or higher position at an approved school of medicine

Arkansas

 

Arkansas State Medical Board
Peggy P. Cryer, Executive Secretary
2100 Riverfront Dr., Suite 200
Little Rock, AR 72202-1793
(501) 296-1802 / Fax:(501) 296-1805
www.armedicalboard.org

 

No reciprocity

 

AR must re-verify all the information, exam results and education

 

 

 

ECFMG certification, except Canadians with LMCC exam results

USMLE 1, 2 and 3

 

Or LMCC

Or combination of national boards, such as FLEX comp 1 + USMLE 2 +3, depending on when the physician was originally licensed

All applicants must complete one year of post graduate training or internship in the US

 

Full credentialing if the applicant passed USMLE for another US state

 

 

California

 

Medical Board of California
Ronald Joseph, Executive Director
1426 Howe Ave., Suite 54
Sacramento, CA 95825-3236
(916) 263-2389 / Fax:(916) 263-2387
(800) 633-2322
www.medbd.ca.gov

 

Yes

 

With NBME endorsement

EBHAR profiles

 

With letters of good standing or license history certification required from each license obtained in any US or Canadian territory

ECFMG certification (not required if passed the FLEX before Jan. 1, 1986)

 

Official breakdown of undergraduate clinical clerkships or certificate of clinical training (if it was completed outside the primary teaching hospital)

 

Original pre-medical school transcripts from every college attended

Original school transcripts from every medical school attended

 

Certificate of completion of ACGME or RCPSC post-graduate training

 

Fingerprints

Photograph

 

Colorado

 

Colorado Board of Medical Examiners
Susan Miller, Program Administrator
1560 Broadway, Suite 1300
Denver, CO 80202-5140
(303) 894-7690 / Fax:(303) 894-7692
www.dora.state.co.us/medical

 

Yes

 

With exam results (may also reciprocate with state exam rather than national exams).

ECFMG required from foreign graduates except Canadians

Passage of:

 

NBME and USMLE

 

Or

 

LMCC

Or

FLEX

 

Combinations available

Graduation from an ACGME approved medical school and completion of one year of approved postgraduate training

 

Foreign educated physicians are evaluated on a case by case basis after ECFMG

 

Foreign graduates must complete three years of ACGME/AOA approved clinical post-graduate training in the US or Canada and take the national board of medical examiners exam (USMLE/NBME) or FLEX.

Connecticut

Connecticut Medical Examining Board
Jeff Kardys, Board Liaison
P.O. Box 340308
Hartford, CT 06134-0308
(street address 410 Capitol Ave. MS13PHO)
(860) 509-7648 / Fax:(860) 509-7553
Licensing Information,(860) 509-7563

 

No reciprocity

 

But past licensing tests results for other states may be accepted (no need to re-take exams)

 

 

ECFMG

 

Certificate

USMLE 1+2+3

 

Or

FLEX

Or

NBME

Or

 

Combination

 

 

 

Graduation of an approved US or Canadian school or ECFMG plus 2 years of post graduate training or  residency for all applicants

 

 

Delaware

 

Delaware Board of Medical Practice
Douglas J. Reed, Executive Director
P.O. Box 1401
Dover, DE 19903
(street address: 861 Silver Lake Blvd., Cannon Building, Suite 203, 19904)
(302) 739-4522 / Fax:(302) 739-2711
www.state.de.us/license/28/index.htm

 

No reciprocity

 

But past licensing test results may be transferred (do not have to re-take exams) with verification of education

ECFMG

 

Except Canadians

USMLE 1+2+3

 

Or 

FLEX

Or

NBME

 

Or combination

 

Depending upon years when exams taken

Graduation of an approved US or Canadian school and 1 full year of US internship

 

 

Foreign school graduates must do 3 years of internship in the US in an accredited program

 

DC

District of Columbia Board of Medicine
James R. Granger, Jr., Executive Director
825 North Capital Street, NE, 2nd Floor
Washington, DC 20002
(202) 442-9200/ Fax: (202) 442-9431
www.dchealth.com

 

 

 

USMLE 1+2+3

 

 

Graduation of an approved medical school in the US or Canada

 

 

Florida

Florida Board of Medicine
Tanya J. Williams, Executive Director
4052 Bald Cypress Way, BIN #C03
Tallahassee, FL 32399-1753
(850) 245-4131/ Fax:(850) 488-9325
www.doh.state.fl.us

 

Yes

 

Applicants by endorsements if licensed prior to 1/1/2000 must receive passing score at NBME, FLEX or USMLE and actively practiced for at least 2 of the immediately preceding 4 years or have completed a board approved postgraduate training program within the 2 preceding years before filing the application

ECFMG certificate required from foreign graduates

 

Or fifth pathway

USMLE 3

(after 1+2)

 

or FLEX

or NBME

 

or SPEX exam if other exams not taken and have been practicing in the US or Canada for over 10 years

Applicants that graduated from medical school after 10/1/1992 must complete 2 academic years of pre-professional, post-secondary education and complete at least one year of approved residency

Georgia

 

Georgia Composite State Board of Medical Examiners
Karen Mason, Executive Director
2 Peachtree Street, NW, 6th Floor
Atlanta, GA 30303-3465
(404) 656-3913 / Fax:(404) 656-9723
www.medicalboard.state.ga.us

No reciprocity

 

Exams may be waived if taken previously for another state

 

Must meet all GA requirements

 

ECFMG certificate for all IMGs

 

Fifth pathway applicants are exempt from the ECFMG certification but must pass the ECFMG qualifying exam with a score of 75+

 

 

 

USMLE steps 1+2+3

 

Or

 

Approved combination of various exams

(NBME, FLEX I and II, Canadian NCCQE)

All applicants must have one year of post graduate training (except for Canadian with LMCC certification)

 

All applicant must have certification of medical education (where received AMA training)

 

Must provide all states where licensed

 

IMGs must submit a notarized copy of their original diploma and transcripts (also notarized English translation of both diploma and transcripts)

 

IMGs graduated before 7/1/1985 – school must be approved by the board as of the date of graduation (ECFMG certification)

 

IMGs graduated after 7/1/1985 from a school not approved by the board must complete three years of board approved (ACGME) post-graduate residency in the US.

Hawaii

Hawaii Board of Medical Examiners
Constance Cabral-Makanani, Executive Officer
Dept. of Commerce & Consumer Affairs
P.O. Box 3469
Honolulu, HI 96801
(street address: 1010 Richards St., 96813)
(808) 586-3000 / Fax:(808) 586-2874
www.state.hi.us

No reciprocity

 

Must send verification of licenses from any other states

 

Applicants who passed licensing exams for another state do not have to take exams again for Hawaii

ECFMG Certification

 

Or

 

Fifth pathway certificate complying with AMA policy

 

For foreign medical school graduates

 

Or three years of approved residency

FLEX components 1+2, NBME parts 1+2+3, USMLE  steps 1+2+3

OR combinations of these exams prior to 2000:

 

Each part of the NBME may be credited for the same USMLE step; FLEX comp 1 credited for steps 1+2 of USMLE; FLEX comp 2 credited for USMLE step 3

 

Must be a graduate from an LCME (Liaison Committee on Medical Education) approved school and have at least one year in a residency program approved by ACGME (Accreditation Council for Graduate Medical Education). If residency done outside the US, the applicant must satisfy the board that the program has same standards to those approved by ACGME.

 

Foreign medical graduates must serve at least 2 years in an ACGME accredited program in the US or Canada + ECFMG/Fifth pathway

 

FMGs who were not certified by ECFMG but passed the ECFMG qualifying exam prior to 1984 may be licensed if passed the FLEX, USMLE or approved combination, and have at least three years of medical training or experience in a hospital approved by the AMA

 

Applicants who passed the FLEX exam prior to 1985 with FLEX Weighted Average of at least 75 are not required to sit for further exams. If passed FLEX after 1984, must have a score of 75 in each component

 

Applicants that are licensed in another state by virtue of passing that state’s exam may sit for the SPEX exam administered by FSMB.

Idaho

Idaho State Board of Medicine
Darleene Thorsted, Executive Director
Statehouse mail
P.O. Box 83720
Boise, ID 83720-0058
(street address: 1755 Westgate Drive, Suite 140, 83704)
(208) 327-7000 / Fax:(208) 327-7005
www.bom.state.id.us

 

Yes

 

If applicants are diplomats of the NBME (National Board of Medical Examiners) or USMLE or hold a valid license received after examination in a state with standards equivalent to Idaho.

Oral or written exam may be required

 

 

ECFMG

Certificate required

USMLE

 

Or

NBME

Or

FLEX

Or State Boards

Graduation from an approved medical school plus approved one year internship in the US or Canada

 

Foreign graduates must graduate from an approved medical school and have 3 years of post-graduate training in the US or Canada

 

If they have graduated from a foreign medical school that is not approved and they are board certified + ECFMG + FLEX, foreign medical school may be waived if not approved  otherwise

 

A personal interview may be required

Illinois

 

Illinois Department of Professional Regulation
Leonard Sherman, Director
(Discipline)
James R. Thompson Center
100 W. Randolph St., 9-300
Chicago, IL 60601
(312) 814-4500 / Fax:(312) 814-1837

www.dpr.state.il.us

 

Yes

 

If graduate of a board approved US or foreign medical program or graduation of 6 year post secondary studies including 4 years of medical education

With license verification in each state or country

ECFMG certification required from foreign graduates

USMLE 1+2+3

 

OR NBME, FLEX or SPEX or COMSPEX-USA

Or combination

 

 

Graduation from an approved school plus postgraduate training of one year if residency program done before 12/31/1987

If after 1/1/1988 must complete two years of residency

 

NBME I+II+III (each NBME part in lieu of same USMLE part)

Or FLEX 1+ USMLE 3

Or NBME 1+2 (or USMLE 1+2) + FLEX 2

Or FLEX 1+2 taken before 1/1/1995

Indiana

 

Indiana Health Professions Bureau
Lisa R. Hayes, Executive Director
402 W. Washington St., Room 041
Indianapolis, IN 46204
(317) 232-2960 / Fax:(317) 233-4236 
www.ai.org/hpb

 

 

Endorsement of license is entirely at the discretion of the board of Indiana. A license in another state does not assure license in Indiana

 

Must verify each state where applicant holds a medical license and AMA and Federation of State Medical Board verification

 

ECFMG certification from foreign graduates

 

Or

VQE or FMGEMS certificate

USMLE 1, 2, 3

 

Or

 

FLEX, NBME, NBOME LMCC approved combinations

 

(1) FLEX component I+II (2) NBME Parts I+II+III (3) NBME I+II and FLEX II

(4) NBME I+II and USMLE part III

(5) FLEX component I and USMLE step III

 

Official transcripts from medical school (if foreign school must be notarized)

Notarized copy of medical degree

Notarized postgraduate training certificate

If US or Canadian graduates one year of approved internship

If foreign medical school graduates – two years of approved internship

 

Iowa

Iowa State Board of Medical Examiners
Ann Mowery, Ph.D., Executive Director
400 Southwest Eighth Street, Suite C
Des Moines, IA 50309-4686
(515) 281-5171 / Fax:(515) 242-5908
http://www.docboard.org/ia/ia_home.htm

 

 

 

 

Must provide to the board copies of all medical licenses held by applicant

ECFMG certification required from foreign graduates (except Canadians) or fifth pathway program

USMLE

 

Or

NBME or

FLEX or

NBOME or

COMLEX or

LMCC or

A state structured exam

 

 

Medical degree from a board approved institution plus one year of postgraduate training

OR (1) ECFMG or (2) fifth pathway program or (3) SPEX or US or Canadian medical licensing exam with 3 years of approved postgraduate training and five years of active medical practice in the US or Canada or (4) SPEX, US or Canadian medical licensing exam and a specialty board certification approved by ABMS or AOA, plus five years of medical practice in the US or Canada

Kansas

Kansas Board of Healing Arts
Lawrence Buening, Jr., J.D., Executive Director
235 SW Topeka Blvd.
Topeka, KS 66603-3068
(785) 296-7413 / Fax:(785) 296-0852
www.ink.org/public/boha

 

 

 

 

 

Kentucky

Kentucky Board of Medical Licensure
C. William Schmidt, Executive Director
Hurstbourne Office Park
310 Whittington Parkway, Suite 1B
Louisville, KY 40222-4916
(502) 429-8046 / Fax:(502) 429-9923
www.state.ky.us/agencies/kbml

 

Yes

 

Must provide proof of license in another state and qualify under one of the licensing examinations or combinations

ECFMG certification required

 

Or

Diplomacy of an approved American specialty board

USMLE steps 1+2+3

 

Or

NBME 1+2+3

Or

NBOME 1+2+3

Or

FLEX component 1+2 (75+ on both)

Or

State board exam if taken prior to 1972

Graduation from a medical school approved by the board (LCME approved). Medical education obtained outside the US or Canada is evaluated by the board on an individual basis and must be listed in the World Health Organization directory of medical schools.

 

All applicants must complete minimum of two years post graduate residency approved by the ACGME

 

IMGs must have ECFMG certification OR proof of being a diplomat of an approved American specialty board

Louisiana

Louisiana State Board of Medical Examiners
Virginia G. Benoist, J.D., Executive Director
P.O. Box 30250
New Orleans, LA 70190-0250
(street address: 630 Camp St., 70130)
(504) 568-6820 / Fax:(504) 568-8893
www.lsbme.org

 

Yes

 

With approved exams combinations

 

Based on USMLE or FLEX for foreign graduates plus three years of approved training

 

If applicant has not passed an exam within 10 years prior to application, he/she must take the SPEX exam unless applicant passed any American Board of Medical Specialities

ECFMG certification required of all foreign educated physicians

USMLE steps 1+2+3

 

Or

FSMB or SPEX or FLEX or NBME if exam taken in past 10 years

 

Graduation from an approved medical school

 

Foreign graduates must complete ECFMG certification and three years of approved training in the US or Canada.

 

 

Maine

Maine Board of Licensure in Medicine
Randal C. Manning, Executive Director
137 State House Station (U.S. mail)
2 Bangor Street, 2nd Floor (delivery service)
Augusta, ME 04333
(207) 287-3601 / Fax:(207) 287-6590
www.docboard.org/me/me_home.htm

 

 

ECFMG certification required from foreign educated physicians

 

Or one of the substitutions

USMLE 1+2+3

 

Or

FLEX or  NBME

Or approved combination

 

All exams must be completed within 7 years

Graduation of an approved medical school

Post graduate training: if graduated after 1/1/1970 must complete 2 years; if graduated before 1/1/1970 must complete one year

Any applicant who is ABMS board certified who graduated prior to 1/1/1982 is deemed to meet the postgraduate training requirement

 

If foreign educated – must complete three years of post graduate training (in US, Canada or UK)

Must also have ECFMG certificate or

CFMGEMS (Certification of Foreign Medical Graduate Examination in the Medical Sciences)

or VQE (Visa Qualifying Examination) or completion of a fifth pathway program

 

Maryland

Maryland Board of Physician Quality Assurance
C. Irving Pinder, Executive Director
P.O. Box 2571
Baltimore, MD 21215-0095
(street address: 4201 Patterson Ave., third floor, 21215)
(410) 764-4777 / Fax:(410) 358-2252
(800) 492-6836
http://www.docboard.org/md/default.htm

 

 

ECFMG certification

 

 

All candidates must demonstrate written and spoken competency in English by GED or English college education OR graduation from an English speaking medical school OR TOEFL score of 550 (213 on computer based) or passage of ECFMG English test and TSE (min. 220) OR OPI (Oral Proficiency Interview)

Massachusetts

Massachusetts Board of Registration in Medicine
Nancy Achin Sullivan, Executive Director
10 West St., 3rd Floor
Boston, MA 02111
(617) 727-3086 / Fax:(617) 451-9568
(800) 377-0550
www.massmedboard.org

 

 

ECFMG Certificate for foreign graduates

USMLE Steps 1+2+3

 

Or

NBME parts 1+2+3 or

FLEX part 1+2

Or LMCC 1+2

Or

State exam if taken prior to 6/19/1970

Education requirements: 2 or more years of pre-medical education in a US college and 4 years of medical education

 

For US or Canadian graduates one year of postgraduate training approved by ACGME or RRC (for Canadians)

 

For international graduates ECFMG certificate plus two years of approved postgraduate training

 

Michigan

Michigan Board of Medicine
Melanie Brim, Licensing Director
P.O. Box 30670
Lansing, MI 48909-7518
(street address: 611 W. Ottawa St, 1st floor, 48933
(517) 373-6873 / Fax:(517) 373-2179
www.cis.state.mi.us/bhser

 

Yes

 

With exam scores and verification of another license

 

Unless licensed over 10 years in another state no exam requirements just verification of other state license

ECFMG certificate for foreign graduates

USMLE 1+2+3

 

Or:

FLEX

Or

NBME

All applicants, US and foreign educated, must complete 2 years of postgraduate training

 

 

Minnesota

Minnesota Board of Medical Practice
Robert A. Leach, J.D., Executive Director
University Park Plaza
2829 University Ave. SE, Suite 400
Minneapolis, MN 55414-3246
(612) 617-2130 / Fax:(612) 617-2166
Hearing impaired 1-800-627-3529
www.bmp.state.mn.us

 

Yes

 

Applicants still have to meet all of the statutory requirements or Minnesota (education, exams, etc.) to be certified

ECFMG certificate required prior to USMLE 3

USMLE

1+2+3

 

Or

FLEX

Or

NBME

Or another examination taken previously

 

 

US graduates must complete 1 year of postgraduate training

 

International graduates must complete 2 years of postgraduate training

Mississippi

Mississippi State Board of Medical Licensure
W. Joseph Burnett, M.D., Director
1867 Crane Ridge Drive, Suite 200B
Jackson, MS 39216
(601) 987-3079 / Fax:(601) 987-4159
www.msbml.state.ms.us

 

Yes

 

Have to go through the same licensing requirement and application process even if licensed in another state

 

ECFMG certificate required

USMLE 3

 

Or

 

FLEX

Or NBME

 

Or combination 

 

 

US graduates must complete 1 year of postgraduate training

 

Foreign graduates must complete 3 years of postgraduate training

 

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Disclaimer: This newsletter is provided as a public service and not intended to establish an attorney client relationship. Any reliance on information contained herein is taken at your own risk.

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1028 Oakhaven Rd.
Memphis, TN 38119
T. 800-343-4890 or 901-682-6455
F. 901-682-6394
Email: info@visalaw.com

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