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)