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	No reciprocity     Must provide to the board copies of all medial licenses in each state or country.   Applicant who passed one of the national medical exams does not have to re-take exams.	ECFMG required from foreign graduates (Except Canadians)	USMLE 1,2,3   Or FLEX Or LMCC Or NBME Or Approved combination	Medical degree from a board approved medical school plus one year of postgraduate training   Foreign physicians must complete two years of US postgraduate training
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	No reciprocity   No need to re-take exams if passed them before	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	No reciprocity   Maryland must re-verify all credentials and scores sent directly from the federation   There is no need to retake exams if passed one of the approved combinations	ECFMG certification required from  foreign graduates	USMLE   Or FLEX Or NBME Or Approved combinations	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)   2 years of post-graduate training is required from all applicants (both US and international graduates)
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	No reciprocity   All credentials and exam scores must be verified and sent directly from the appropriate organizations.   No need to re-take exams if passed them before	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
Missouri   Missouri State Board of Registration for the Healing Arts Tina M. Steinman, Executive Director P.O. Box 4 Jefferson City, MO 65102 (street address: 3605 Missouri Blvd., 65109) (573) 751-0098 / Fax:(573) 751-3166 www.ecodev.state.mo.us/pr/healarts/	No reciprocity   Not necessary to re-take exams if passed before	ECFMG certification required, valid and indefinite	USMLE 1, 2, 3   Or   FLEX   Or NBME Or LMCC Or Approved combination	1 year of approved postgraduate training for US graduates is required   3 years of US approved postgraduate training in one of the AMA recognized specialties required from international graduates.   USMLE requirement - All 3 steps within 7 years and passed each step within 3 attempts   International graduates must provide original documents from medical school and any exams taken prior to entering medical school   The originals will be mailed back to applicant after application process is over.
Montana   Montana Board of Medical Examiners Jeannie Worsech, Executive Director P.O. Box 200513 Helena, MT 59620-0513 (street address: 301 S. Park Ave., 4th floor) (406) 841-2360 / Fax: (406) 841-2363 www.discoveringmontana.com	Yes   With prior exam results that are comparable to Montana	ECFMG for foreign graduates	USMLE 1, 2, 3   Or National boards (NBME) Or FLEX Or LMCC Or State exam	US graduates must complete 1 year of postgraduate training   International graduates must complete 3 years of postgraduate training   Examination scores of 75% or higher   SPEX required if inactive for over 2 years   Foreign graduates must provide a fifth pathway certificate, ECFMG and VQE certificates
Nebraska   Nebraska Health and Human Services, Regulation and Licensure Credentialing Division Becky Wisell, Executive Secretary P.O. Box 94986 Lincoln, NE 68509-4986 (street address: 301 Centennial Mall South, 68508) (402) 471-2118 / Fax:(402) 471-3577 www.hhs.state.ne.us/	No reciprocity   Unless taken state boards (a long time ago)   Scores transferred from the actual board that did the exam, such as the federation	ECFMG certification required	USMLE 1+2+3   Or NBME Or FLEX Or approved combination	US graduates must complete 1 year of approved postgraduate training      Foreign graduate must complete 3 years of an approved postgraduate training program (any kind as long as approved)
Nevada   Nevada State Board of Medical Examiners Larry D. Lessly, J.D., Executive Director P.O. Box 7238 Reno, NV 89510 (street address: 1105 Terminal Way, Suite 301, 89502) (775) 688-2559 / Fax:(775) 688-2321 www.state.nv.us/medical	No reciprocity   Applicant does not have to re-take exams if passed them before   Applicants must prove compliance with NV requirements	ECFMG certificate  required from all foreign graduates	USMLE 1, 2, 3 Must be passed within 7 years   Or FLEX Or NBME Or Approved combination	ALL APPLICANTS (both US and international) must complete 36 months or 3 years of ACGME approved post-graduate training/internship
New Hampshire   New Hampshire Board of Medicine Penny Taylor, Acting Administrator 2 Industrial Park Drive, Suite 8 Concord, NH 03301-8520 (603) 271-1203 / Fax:(603) 271-6702 complaints (800) 780-4757 www.state.nh.us/medicine	Yes   If physician is fully licensed in another state he/she may receive a courtesy license to practice in NH by verifying license in another state	ECFMG certificate required	Passage of one of the following exams: USMLE NBME FLEX COMLEX   Or one of the acceptable combinations	All applicants must complete at least 2 years of pre-medical college education.   All applicants must graduate from an accredited school or foreign school with equivalent standards to LCME + ECFMG certificate.   All applicants must complete 2 years of post graduate training an ACGME accredited institution or be board certified or have 10 years of medicine practice combined with 2 or more years of post graduate training outside the US or Canada   (passage of USMLE 1+2 required for internship)
New Jersey   New Jersey State Board of Medical Examiners William V. Roeder, Executive Director P.O. Box 183 Trenton, NJ 08625 (street address: 140 E. Front Street, 2nd Floor) (609) 826-7100 / Fax:(609) 826-7117 www.state.nj.us
New Mexico   New Mexico State Board of Medical Examiners Charlotte Kinney, Executive Director Lamy Building, 2nd Floor 491 Old Santa Fe Trail Santa Fe, NM 87501 (505) 827-5022 / Fax:(505) 827-7377 www.state.nm.us/nmbme www.nmbme.org	YES License by endorsement Not reciprocity   If passed one of the approved exams and qualifying education	ECFMG Certification required from foreign graduates (except Canadians)	USMLE 1+2+3   Or FLEX Or NBME Or State board if taken before 12/1973 Or LMCC Or approved combination	All applicants must complete 24 months (2 years) of postgraduate training in an ACGME approved program (or its Canadian equivalent)   The board utilizes the Federation Credentials Verification Service (FCVS)   All applicants must graduated from approved medical school (LCME approved).   All applicants must pass with a score of 75 or higher on each component part of a board-approved examination. All applicants may attempt six times to complete an exam, as long as all parts of the exam are completed within 7 years. Must have verification of each medical license and each medical society, and 2 recommendation letters
New York   New York State Board for Medicine (Licensure) Thomas J. Monahan, Executive Secretary 89 Washington Avenue, 2nd Floor, West Wing Albany, NY 12234-1000 (518) 474-3817 Ext. 560 / Fax:(518) 486-4846 www.op.nysed.gov	Yes by endorsement   However NY does NOT issue a license to practice solely on verification of license in another jurisdiction.   NY must verify medical education, pre-professional education, postgraduate training, valid license to practice medicine in another jurisdiction, etc.   If the applicant has a medical license issued by another state and have two years of professional experience, and have passed a licensing exam, he/she may qualify for licensure by endorsement.	ECFMG certification required from all foreign graduates	USMLE   Or   FLEX Or NBME Or Approved combination	Educational requirements: 60 semester hours of pre-professional undergraduate college study from a NY State registered program or its equivalent; Completion of an approved medical program (NY State licensure qualifying or LCME)   Graduates of non-accredited medical programs must provide minimum of 32 months (4 academic years) in an acceptable educational program for physicians and ECFMG.   Graduates of an accredited medical programs (or fifth pathway program) must complete 1 year of postgraduate training approved by ACGME   Graduates of non-accredited medical program must provide minimum of three years of postgraduate hospital training in an ACGME accredited program   All licensed physicians in NY must be United States Citizens or Lawful Permanent Residents. This requirement may be waived for a three year limited physician license to practice in a medically underserved area.
North Carolina   North Carolina Medical Board Andrew W. Watry, M.P.A., Executive Director P.O. Box 20007 Raleigh, NC 27619-0007 (street address: 1201 Front Street, 27609) (919) 326-1100 / Fax:(919) 326-1130 www.ncmedboard.org	Yes By reciprocity or endorsement   With acceptable education and exams requirements: FLEX with approved passing scores   Foreign graduates must be certified by a specialty board recognized by the ABMS (American Board of Medical Specialties) within 5 years prior to application	Must have ECFMG certification (un-expired certification only)	USMLE   Or FLEX Or LMCC Or NBME Or Combination	US graduate must complete 1 year of post graduate training approved by the ACGME   Graduates of foreign medical schools who are not enrolled in graduate medical education in NC must submit proof of three years of postgraduate training in an ACGME approved program.
North Dakota   North Dakota State Board of Medical Examiners Rolf P. Sletten, JD, Executive Secretary/Treasurer City Center Plaza 418 E. Broadway, Suite 12 Bismarck, ND 58501 (701) 328-6500 / Fax:(701) 328-6505 www.ndbomex.com		ECFMG certification is required except graduates of medical schools in Canada, England, Scotland, Ireland, Australia and New Zealand Or for fifth pathway program graduates or American board certified	USMLE   Or FLEX Or NBME Or LMCC Or Approved combination	US graduates must complete one year of postgraduate training   Foreign graduates must complete three years of postgraduate training approved by the board (if the applicant completed one year of postgraduate training in the US, the board may decide that the applicant has enough professional experience and training that is equivalent to the second and third year and may waive this requirement  – but the applicant must prove that he/she is American or Canadian board certified or passed the SPEX  exam)
Ohio   State Medical Board of Ohio Thomas A. Dilling, Executive Director 77 S. High St., 17th Floor Columbus, OH 43266-0315 (for Fed Ex delivery use zip 43215) (614) 466-3934 / Fax:(614) 728-5946 (800) 554-7717 www.state.oh.us/med/	YES   If other eligibility requirements are met, diplomate status with the National Board of Medical Examiners or licentiate status with the Medical Council of Canada may be directly endorsable to Ohio With USMLE or acceptable examination combination	ECFMG certification required	USMLE   Or FLEX Or NBME Or LMCC Or Approved combination	The minimum requirement for licensure is two years of undergraduate work in a college approved by the board in addition to a high school diploma   US or Canadian graduates must complete one year of postgraduate medical training   Foreign graduates must complete two years of postgraduate medical training or complete a fifth pathway program plus one year of postgraduate training   Foreign graduates must prove proficiency in English by TSE (min. 40 or 230 if taken prior to 7/95) or completion of 2 years of undergraduate college education in the US or completion of a fifth pathway program or having a US license and have actively practiced medicine for 5 years
Oklahoma   Oklahoma State Board of Medical Licensure and Supervision Lyle Kelsey, C.A.E., Executive Director P.O. Box 18256 Oklahoma City, OK 73154-0256 (street address 5104 N. Francis, Suite C, 73118) (405) 848-6841 / Fax:(405) 848-8240 (800) 381-4519 www.osbmls.state.ok.us	Yes by endorsement   OK must verify all states where applicant is licensed in or by FCVS	ECFMG certification required	USMLE 1+2+3   Or FLEX 1+2 Or MBME 1+2+3   Or Approved combination (passing score 75 or higher, not more than 6 attempts)	US graduates must complete 12 months of postgraduate training if completed before July 1, 1995 or 24 months if completed after July 1, 1995   All applicants for initial licensure as a physician in Oklahoma must pass with a score of 75% a written medical jurisprudence examination.   Graduates of foreign medical schools must submit a tape-recorded reading of a written selection created by the Board to evaluate the applicant’s English communication skills.   Foreign applicants must provide the board with written proof of their ability to work in the US by the INS.
Oregon   Oregon Board of Medical Examiners Kathleen Haley, J.D., Executive Director 620 Crown Plaza 1500 SW First Avenue Portland, OR 97201-5826 (503) 229-5770 / Fax:(503) 229-6543 www.bme.state.or.us		ECFMG standard  certification required from all graduates of foreign medical schools	USMLE   Or FLEX	LCME approved medical schools are approved by the board. The board has also approved some medical schools in England, Scotland, Ireland and Australia.   Graduates of non approved schools must have completed at least four eight-month term of instruction (at least 4 full academic years)   US graduates or approved foreign schools must complete one year of internship, residency or clinical fellowship training accredited by the ACGME   Foreign graduates from unapproved schools must complete three years of internship
Pennsylvania   Pennsylvania State Board of Medicine Joanne Troutman, Administrator P.O. Box 2649 Harrisburg, PA 17105-2649 124 Pine Street, 17101 (717) 787-2381 / Fax:(717) 787-7769 www.dos.state.pa.us	No reciprocity   If physician passed a licensing exam acceptable to the board, does not have to re-take the exam	ECFMG certification required	USMLE   Or FLEX   Or Another approved federation or state exam	US graduates must complete 2 years of post graduate training in an ACGME accredited program   Foreign graduate must complete 3 years of post graduate training in an ACGME accredited program
Rhode Island   Rhode Island Board of Medical Licensure and Discipline Milton W. Hamolosky, M.D., Chief Officer Dept. of Health Cannon Building, Room 205 Three Capitol Hill Providence, RI 02908-5097 (401) 222-3855 / Fax:(401) 222-2158 www.docboard.org/ri/main.htm		ECFMG certification required	USMLE   Or NBME Or FLEX Or LMCC   Or Approved combination	US graduates must complete 2 years of post graduate training in an accredited program   International graduates must complete 3 years of post graduate training in an accredited program in the US
South Carolina   South Carolina Department of Labor, Licensing and Regulation Board of Medical Examiners John Volmer, interim Board Administrator P.O. Box 11289 Columbia, SC 29211-1289 (street address: 110 Centerview Drive, Suite 202, 29210) (803) 896-4500 / Fax:(803) 896-4515 www.llr.state.sc.us/pol/medical			USMLE   Or   FLEX Or State Medical /Composite board examination Or  SPEX Or Approved combination	US graduates must complete one year of postgraduate medical training in an accredited program   International graduates must complete three years of postgraduate medical training in an accredited program in the US
South Dakota   South Dakota State Board of Medical and Osteopathic Examiners L. Paul Jensen, Executive Secretary 1323 S. Minnesota Ave. Sioux Falls, SD 57105 (605) 334-8343 / Fax:(605) 336-0270 www.state.sd.us/dcr/medical	Yes by reciprocity   To obtain licensure by reciprocity the applicant must reciprocate with the license originally obtained by examination with qualifying results   Applicants reciprocating must have completed at least two years of postgraduate medical training unless they obtained a valid license before July 1, 1987 and completed one year of postgraduate training	ECFMG certification required	USMLE   Or   FLEX   Or NBME     Passing score is 75% or higher	All applicants must complete two years of postgraduate medical training (unless they obtained a valid license before July 1, 1987 and completed one year of postgraduate training)
Tennessee   Tennessee Board of Medical Examiners Rosemarie Otto, Executive Director 1st Floor, Cordell Hull Building 425 5th Ave. North Nashville, TN 37247-1010 (615) 532-3202 / Fax:(615) 253-4484 www.state.tn.us/health		ECFMG certificate required from all international medical graduates (notarized copy of original permanent certificate required)	USMLE   Or   FLEX   Or NBME   Or Approved combination	US graduates must complete one year of postgraduate medical training   International graduates must complete three years of postgraduate medical training   All applicants must submit proof of US citizenship, residency or being legally entitled to live and work in the US
Texas   Texas State Board of Medical Examiners Jerry T. Walker, Interim Executive Director P.O. Box 2018 Austin, TX 78768-2018 (street address: 333 Guadalupe, Tower 3, Suite 630, 78701 (512) 305-7010/Fax: (512) 305-7008 Disciplinary Hotline (800) 248-4062 Consumer Complaint Hotline (800) 201-9353 www.tsbme.state.tx.us			USMLE   Or FLEX Or NBME Or Approved combination   (all exams must be passed within three attempts)   PLUS TEXAS MEDICAL JURIS-PRUDENCE EXAM	All applicants must be at least 21 years old and of good professional character   All applicants must have completed 60 semester hours of college courses other than in medical school and the entire primary, secondary and premedical education required in the country of medical school graduation if the medical school is located outside the US or Canada, or proof of substantially equivalent courses as determined by the board   US graduates must complete one year of approved postgraduate training   International graduates must complete three years of approved postgraduate training
Utah   Utah Department of Commerce Div. of Occupational & Professional Licensure Gary Bowen, Division Director P.O. Box 146741 Salt Lake City, UT 84114-6741 (street address: Heber M. Wells Building, 4th Floor, 160 E 300 South, 84102) (801) 530-6628 / Fax:(801) 530-6511 www.commerce.state.ut.us www.dopl.utah.gov	No reciprocity   Utah will accept previous exam results and therefore no need to re-take licensing exams if passed a licensing exam before	Must have ECFMG certification	USMLE   Or   FLEX   Or NBME   Or LMCC   Or combination	All graduates (US and foreign) must complete two years of approved postgraduate training
Vermont   Vermont Board of Medical Practice Gloria J. Hurd, Executive Director 109 State St. Montpelier, VT 05609-1106 (802) 828-2673 / Fax:(802) 828-5450 www.docboard.org/vt/vermont.htm	No reciprocity   Applicants do not have to re-take licensing exams if they have passed them before	Must have ECFMG certification	USMLE   Or FLEX Or NBME Or LMCC Or Combination	US graduates must complete one year of approved postgraduate training   Foreign graduates must complete three years of approved postgraduate training
Virginia   Virginia Board of Medicine William L. Harp, MD, Executive Director 6606 W. Broad St., 4th Floor Richmond, VA 23230-1717 (804) 662-9908 / Fax:(804) 662-9517 www.dhp.state.va.us/		Must have ECFMG certification or its equivalent from all graduates of non-approved schools	USMLE   Or FLEX Or NBME Or LMCC Or approved combination	US graduates must complete one years of satisfactory postgraduate training in a hospital approved by the ACGME   Foreign graduates must complete three years of postgraduate training in a hospital approved by the ACGME The board may substitute training or study for up to two years of the three year requirement where such training or study has occurred in the US or Canada and is an approved fellowship program or a position teaching medical students, interns or residents in an accredited medical school program The board may substitute continuous full time practice of five years or more and one year of postgraduate training in a foreign country, in lieu of the three years of postgraduate training.
Washington   Washington Medical Quality Assurance Commission Bonnie L. King, Executive Director P.O. Box 47866 Olympia, WA 98504-7866 (street address: 1300 SE Quince Street, 98501) (360) 236-4888 / Fax:(360) 586-4573 www.doh.wa.gov	No reciprocity   No need to re-take licensing exams if passed them before   Verification of all medical licenses must be sent directly from licensing state board; exam results must be sent directly from the examining organization	ECFMG certification required	USMLE 1+2+3   Or FLEX Or Another approved exam or combination	All applicants who graduated after July 1985 must complete two years of approved postgraduate training   All applicants who graduated before July 1985 must complete one year of approved postgraduate training   All applicants must complete 4 hours AIDS/HIV course, provide their professional and training experience and any hospital privileges
West Virginia   West Virginia Board of Medicine Ronald D. Walton, Executive Director 101 Dee Drive Charleston, WV 25311 (304) 558-2921 / Fax:(304) 558-2084 www.wvdhhr.org/wvbom	No reciprocity   But the WV board will accept previous exam results if were one of the national exams or state exams (therefore no need to re-take exams)	ECFMG certification required from foreign graduates	USMLE 1, 2, 3   Or   FLEX Or NBME   Or Approved exams combination	US graduates must complete 1 year of approved post-graduate medical training   Foreign graduates must complete 3 years of approved post-graduate medical training
Wisconsin   Wisconsin Medical Examining Board Patrick D. Braatz, Division Administrator Dept. of Regulation & Licensing P.O. Box 8935 Madison, WI 53708-8935 (street address: 1400 E. Washington Ave., 53703) (608) 266-2112 / Fax:(608) 267-0644 http://www.drl.state.wi.us/	Endorsement available of exam results   All applicants who have been credentialed in another state must submit letters of verification from that state board   An applicant who received passing scores in written examinations for a license to practice medicine by another US or Canadian jurisdiction will not be required to take further exams if obtained a passing score in substantially equivalent exams to the exams in WI.	Foreign graduates must have ECFMG certification   OR FMGEMS (Foreign Medical Graduate Examination in the Medical Sciences)	USMLE   Or FLEX Or NBME     PLUS open book examination on Wisconsin Statutes and Administrative Code PLUS Oral examination	Both US and foreign graduates must complete 12 months of postgraduate training in a board approved facility
Wyoming   Wyoming Board of Medicine Carole Shotwell, J.D., Executive Secretary 211 W. 19th St., Colony Bldg., 2nd floor Cheyenne, WY 82002 (307) 778-7053 / Fax:(307) 778-2069 http://wyomedboard.state.wy.us/		ECFMG certification required from all international graduates	USMLE   Or FLEX Or National boards Or LMCC Or an equivalent state exam Or combination	At least 21 years of age   US graduates must complete one year of postgraduate medical training in an ACGME, AOA or RCPSC accredited program   International graduates must have completed at least two academic years of on-campus medical education at the medical school from which he/she graduated and have completed at least two years of postgraduate training in an ACGME or AOA accredited program.