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State Medical License Guides

Step-by-step requirements, fees, and timelines for getting licensed in each state — plus the things that quietly derail applications.

Alabama

Get licensed to practice medicine in Alabama. Step-by-step on the ALBME application, FSMB Uniform Application, fees, postgraduate training rules, USMLE limits, and a realistic timeline — plus what trips up most applicants.

View Alabama guide

Alaska

Get licensed to practice medicine in Alaska. Step-by-step on the Alaska State Medical Board application, FSMB Uniform Application option, fees, postgraduate training rules, opioid CME, PDMP registration, and a realistic 12-14 week timeline.

View Alaska guide

Arizona

Get licensed to practice medicine in Arizona. Step-by-step on the Arizona Medical Board (MD) and Arizona Osteopathic Board (DO) applications, $675 fee, USMLE rules, biennial renewal, opioid CME, and a realistic 60-90 day timeline.

View Arizona guide

Arkansas

Get licensed to practice medicine in Arkansas. Step-by-step on the Arkansas State Medical Board application, reduced Act 114 fees, USMLE rules, postgraduate training requirements, annual birth-month renewal, opioid CME, and a realistic 12-16 week timeline.

View Arkansas guide

California

Get licensed to practice medicine in California. Step-by-step on the Medical Board of California (MD) and Osteopathic Medical Board (DO) applications, $674 application fee, $1,176 issuance fee, postgraduate training rules, biennial renewal, 50-hour CME, and a realistic 100+ day timeline.

View California guide

Colorado

Get licensed to practice medicine in Colorado. Step-by-step on the Colorado Medical Board (DORA) application, $412 fee, fingerprint background check, IMLC pathway, biennial renewal, new 30-hour CME rule, and a realistic 60-90 day timeline.

View Colorado guide

Connecticut

Get licensed to practice medicine in Connecticut. Step-by-step on the Connecticut DPH application, $565 fee, 2-year postgraduate requirement, IMLC pathway, annual renewal, mandatory CME topics, and a realistic 75-115 day timeline.

View Connecticut guide

Delaware

Get licensed to practice medicine in Delaware. Step-by-step on the Delaware Board of Medical Licensure and Discipline application via DELPROS, fees, IMLC pathway, board meeting cadence, biennial renewal, mandatory CME topics, and a realistic timeline.

View Delaware guide

District of Columbia

Get licensed to practice medicine in Washington, DC. Step-by-step on the DC Board of Medicine application via DC Health, $805 fee, IMLC pathway, biennial renewal tied to your birth month, mandatory LGBTQ cultural competency CME, and a realistic 12-16 week timeline.

View District of Columbia guide

Florida

Get licensed to practice medicine in Florida. Step-by-step on the Florida Board of Medicine (MD) and Board of Osteopathic Medicine (DO) applications, IMLC pathway, NICA assessment, LiveScan fingerprinting, biennial renewal, mandatory CME, and a realistic 2-3.5 month timeline.

View Florida guide

Georgia

Get licensed to practice medicine in Georgia. Step-by-step on the Georgia Composite Medical Board application, $500 fee, eGov portal, biennial renewal, 40-hour CME, IMLC pathway, and a realistic 6-16 week timeline.

View Georgia guide

Hawaii

Get licensed to practice medicine in Hawaii. Step-by-step on the Hawaii Medical Board (DCCA/PVL) application, biennial fee, IMLC pathway (compact-issued only), 2-year clinical practice requirement for endorsement, biennial renewal, 40-hour CME, and a realistic timeline.

View Hawaii guide

Idaho

Get licensed to practice medicine in Idaho. Step-by-step on the Idaho Board of Medicine (DOPL) application, $200 application + $400 license fee, IMLC pathway, transition to biennial licensure in April 2026, 40-hour CME, and a realistic 8-12 week timeline.

View Idaho guide

Illinois

Get licensed to practice medicine in Illinois. Step-by-step on the IDFPR Physician and Surgeon application, $500 fee, USMLE rules, 24 months postgraduate training, triennial renewal under the Medical Practice Act, 150-hour CME, and a realistic 8-12 week timeline.

View Illinois guide

Indiana

Get licensed to practice medicine in Indiana. Step-by-step on the Indiana Professional Licensing Agency (PLA) application, Medical Licensing Board approval, $250 fee, USMLE 10-year window, biennial renewal, CSR registration, and a realistic 8-12 week timeline.

View Indiana guide

Iowa

Get licensed to practice medicine in Iowa. Step-by-step on the Iowa Board of Medicine application, FSMB UA + State Specific Addendum, $495 total fee, mandatory child and dependent abuse training, biennial birth-month renewal, and a realistic timeline.

View Iowa guide

Kansas

Get licensed to practice medicine in Kansas. Step-by-step on the Kansas State Board of Healing Arts application, $300 fee, mandatory Health Care Stabilization Fund participation, KSBHA jurisprudence exam, annual renewal, and a realistic timeline.

View Kansas guide

Kentucky

Get licensed to practice medicine in Kentucky. Step-by-step on the Kentucky Board of Medical Licensure (KBML) application, $300 fee, FCVS requirement, KASPER registration, quarterly Board approval, annual renewal, and a realistic 6-8 week timeline.

View Kentucky guide

Louisiana

Get licensed to practice medicine in Louisiana. Step-by-step on the Louisiana State Board of Medical Examiners (LSBME) application, $300 initial fee, mandatory FCVS, CDS-CME requirement, CE Broker tracking, biennial renewal, and a realistic 8-12 week timeline.

View Louisiana guide

Maine

Get licensed to practice medicine in Maine. Step-by-step on the Maine Board of Licensure in Medicine (MD) and Maine Board of Osteopathic Licensure (DO), $700 / $410 fees, mandatory FCVS, jurisprudence exam, biennial renewal, 100-hour CME, and a realistic 12-16 week timeline.

View Maine guide

Maryland

Get licensed to practice medicine in Maryland. Step-by-step on the Maryland Board of Physicians (MBP) application, $790 / $890 fee, postgraduate training rules, separate Maryland CDS registration, alphabetical biennial renewal, 50-hour CME, and a realistic 12-week timeline.

View Maryland guide

Massachusetts

Get licensed to practice medicine in Massachusetts. Step-by-step on the BORIM Full License application, mandatory FCVS, two-year postgraduate training rule, $600 fee, biennial renewal, opioid CME, and the new Limited/Restricted/Full pathway for internationally trained physicians.

View Massachusetts guide

Michigan

Get licensed to practice medicine in Michigan. Step-by-step on the LARA MiPLUS application, separate MD and DO boards, fees, three-year renewal cycle, 150-hour CME, implicit bias training, and IMLC continuity after PA 6 of 2026.

View Michigan guide

Minnesota

Get licensed to practice medicine in Minnesota. Step-by-step on the Minnesota Board of Medical Practice (MBP) application, $425.25 initial fee, FSMB Uniform Application, MBP's 4-week review target, 75-hour triennial CME, and IMLC participation.

View Minnesota guide

Mississippi

Get licensed to practice medicine in Mississippi. Step-by-step on the Mississippi State Board of Medical Licensure (MSBML) application via the Licensure Gateway, $550 permanent license fee, biennial 40-hour CME, annual renewal cycle, and IMLC participation.

View Mississippi guide

Missouri

Get licensed to practice medicine in Missouri. Step-by-step on the Missouri Board of Registration for the Healing Arts application, BNDD controlled substance registration, fees, biennial renewal, and IMLC participation. Realistic 2-3 month timeline.

View Missouri guide

Montana

Get licensed to practice medicine in Montana. Step-by-step on the Montana Board of Medical Examiners (BOME) application, no-CME-requirement renewal, biennial cycle, FSMB Uniform Application, and IMLC participation.

View Montana guide

Nebraska

Get licensed to practice medicine in Nebraska. Step-by-step on the DHHS Board of Medicine and Surgery application, fees, USMLE attempt limits, biennial renewal ending October 1 of even years, opioid CME, and the IMLC pathway.

View Nebraska guide

Nevada

Get licensed to practice medicine in Nevada. Step-by-step on the Nevada State Board of Medical Examiners (MDs) and Nevada State Board of Osteopathic Medicine (DOs) applications, fees, biennial CME including opioid hours, and IMLC participation through both boards.

View Nevada guide

New Hampshire

Get licensed to practice medicine in New Hampshire. Step-by-step on the NH Board of Medicine application through OPLC, FCVS-mandatory credentialing, fees, IMLC expedited pathway, biennial renewal, and a realistic 12-20 week timeline.

View New Hampshire guide

New Jersey

Get licensed to practice medicine in New Jersey. Step-by-step on the NJ State Board of Medical Examiners application, $325 application fee, $805 registration, separate CDS registration, NJPMP, biennial renewal, and a realistic 8-12 week timeline.

View New Jersey guide

New Mexico

Get licensed to practice medicine in New Mexico. Step-by-step on the NM Medical Board (MD) and NM Board of Osteopathic Medicine (DO) applications, fees, IMLC accession, triennial renewal, and a realistic 8-12 week timeline.

View New Mexico guide

New York

Get licensed to practice medicine in New York. Step-by-step on the NYSED Office of the Professions Form 1 application, $735 fee, postgraduate training rules, mandatory child abuse and infection control coursework, and a realistic 3-4 month timeline. New York does NOT participate in the IMLC.

View New York guide

North Carolina

Get licensed to practice medicine in North Carolina. Step-by-step on the NCMB application, $440 fee, postgraduate training rules, IMLC pathway (effective January 2026), STOP Act e-prescribing, biennial CME, and a realistic 4-month timeline.

View North Carolina guide

North Dakota

Get licensed to practice medicine in North Dakota. Step-by-step on the ND Board of Medicine application, $205 fee, 24-month postgraduate training rule, IMLC pathway, biennial renewal, and a realistic 60-90 day timeline.

View North Dakota guide

Ohio

Get licensed to practice medicine in Ohio. Step-by-step on the State Medical Board of Ohio application via eLicense, $305 fee, FCVS-routed credentialing, IMLC pathway, OARRS, biennial renewal, and a realistic 90-120 day timeline.

View Ohio guide

Oklahoma

Get licensed to practice medicine in Oklahoma. Step-by-step on the Oklahoma Board of Medical Licensure (MD) and State Board of Osteopathic Examiners (DO) applications, $500 fee, IMLC pathway, CME and PMP rules, and a realistic 8-12 week timeline.

View Oklahoma guide

Oregon

Get licensed to practice medicine in Oregon. Step-by-step on the Oregon Medical Board (OMB) application, FSMB Uniform Application option, fees, postgraduate training rules, biennial renewal, pain management CME, and a realistic 2.5-3.5 month timeline.

View Oregon guide

Pennsylvania

Get licensed to practice medicine in Pennsylvania. Step-by-step on the PA State Board of Medicine (MD) and PA State Board of Osteopathic Medicine (DO) applications, PALS portal, fees, biennial renewal, 100-hour CME, and a realistic timeline. Pennsylvania is an IMLC issuing state.

View Pennsylvania guide

Rhode Island

Get licensed to practice medicine in Rhode Island. Step-by-step on the Board of Medical Licensure and Discipline application, $1,090 fee, FCVS-only credentialing, two-year postgraduate requirement, and biennial renewal — plus what trips up most applicants.

View Rhode Island guide

South Carolina

Get licensed to practice medicine in South Carolina. Step-by-step on the South Carolina Board of Medical Examiners (LLR) application, FSMB Uniform Application, fees, postgraduate training rules, biennial renewal, controlled substance CME, and a realistic 3-5 month timeline. South Carolina is NOT an IMLC state.

View South Carolina guide

South Dakota

Get licensed to practice medicine in South Dakota. Step-by-step on the South Dakota Board of Medical and Osteopathic Examiners (SDBMOE) application, FSMB Uniform Application, fees, postgraduate training rules, biennial renewal, and a realistic 12-16 week timeline. South Dakota is an IMLC state.

View South Dakota guide

Tennessee

Get licensed to practice medicine in Tennessee. Step-by-step on the Tennessee Board of Medical Examiners (MD) and Board of Osteopathic Examination (DO) applications, FSMB Uniform Application, fees, biennial renewal, opioid CME, and a realistic 8-12 week timeline. Tennessee is a fully participating IMLC state.

View Tennessee guide

Texas

Get licensed to practice medicine in Texas. Step-by-step on the Texas Medical Board (TMB) full physician license application, $867 fee, jurisprudence exam, biennial renewal, opioid CME, and a realistic 51-day target timeline. Texas joined the IMLC in 2022.

View Texas guide

Utah

Get licensed to practice medicine in Utah. Step-by-step on the DOPL Physician and Surgeon application, FBI fingerprint background check, fees, USMLE rules, biennial renewal, suicide prevention CE, and a realistic timeline.

View Utah guide

Vermont

Get licensed to practice medicine in Vermont. Step-by-step on the Vermont Board of Medical Practice (MDs) and Board of Osteopathic Physicians and Surgeons (DOs), $650 fee, IMLC partial participation, biennial renewal, CME, and a realistic 12-16 week timeline.

View Vermont guide

Virginia

Get licensed to practice medicine in Virginia. Step-by-step on the Virginia Board of Medicine application through the unified DHP system, $302 fee, IMLC pathway, biennial renewal, 60-hour CME, and a realistic 6-12 week timeline.

View Virginia guide

Washington

Get licensed to practice medicine in Washington. Step-by-step on the Washington Medical Commission MD application, FBI fingerprinting, fees, USMLE rules, suicide prevention CME, and a realistic 16-20 week timeline.

View Washington guide

West Virginia

Get licensed to practice medicine in West Virginia. Step-by-step on the WV Board of Medicine (MD) and WV Board of Osteopathic Medicine (DO) applications, $400 fee, drug diversion training, biennial renewal, and a realistic timeline.

View West Virginia guide

Wisconsin

Get licensed to practice medicine in Wisconsin. Step-by-step on the DSPS / Medical Examining Board application, AccessGov portal (May 2026), low base fee, USMLE rules, biennial renewal, opioid CME, and a realistic 4-6 month timeline.

View Wisconsin guide

Wyoming

Get licensed to practice medicine in Wyoming. Step-by-step on the Wyoming Board of Medicine application, mandatory FCVS, $600 fee, USMLE rules, annual renewal, three-year CME cycle, and the fastest IMLC pathway in the country.

View Wyoming guide

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