Appendix B Physician Licensing Requirements by State

• Jurisdiction: United States

State	Reciprocity/ Endorsement	ECFMG Certificate	Qualifying Exams	Other
Alabama Alabama State Board of Medical Examiners ; Mailing Address: P.O. Box 946; Montgomery, AL 36101-0946; Street Address: 848 Washington Ave. Montgomery, AL 36104 ; Phone: 334-242-4116 Fax: 334-242-4155 Larry D. Dixon, Executive Director Email: jbaskin@albme.org Website: www.albme.org	Yes If exams taken after 1/1/2000, will accept only USMLE. May accept these combinations of exams taken before 1/1/2000 if achieved score of at least 75: (a) NBME Part 1 or USMLE step 1; plus NBME Part II or USMLE step 2; plus NBME Part III or USMLE Step 3. (b) FLEX component 1; plus USMLE step 3 (c) NBME Part 1 or USMLE Step 1; plus NBME Part II or USMLE Step 2; Plus FLEX Component 2.	Applicants who graduated from a medical college not accredited by LCME or the American Osteopathic Association need an ECFMG certificate or a Fifth Pathway Certificate and pass ECFMG’s exam. Documentation may be submitted through FCVS.	USMLE steps 1,2,3 (If an applicant fails to achieve a passing score on Step 3 in three administrations, the Board may approve one additional attempt to pass Step 3 after demonstration by the applicant of additional education, experience, or training acceptable to the Board.) or FLEX, NBME, NBOME, LMCC	Graduates of LCME accredited programs must have finished a 1 year accredited post-graduate residency training; Graduates of non-CME accredited programs must have completed 3 years of accredited post-graduate residency training. Certain applicants who have not passed a written licensing exam within 10 years prior to application must take SPEX & achieve score of 75+ or be certified by ABMS Criminal background checks required as of 10/01/08.

State	Reciprocity/ Endorsement	ECFMG Certificate		Qualifying Exams	Other
Alaska Alaska State Medical Board ; 550 W. 7th Avenue Suite 1500; Anchorage, AK 99501 ; Phone: 907-269-8163 Fax: 907-269-8196; Debora Stovern, Executive Administrator Email: debora.stovern@alaska.gov Website: https://www.commerce.alaska.gov/web/cbpl/ProfessionalLicensing/StateMedicalBoard.aspx	No reciprocity. Exam may be waived for doctors licensed in another U.S. state or Canadian province if they passed an equivalent exam to the USMLE or have passed one of the following exams: NBME, FLEX or NBOME.	Required from all international graduates		USMLE with a minimum score of 75	IMGs must have graduated from a medical school listed in the WHO Directory & must have 3 years of postgraduate training in programs accredited by ACGME or Royal College of Physicians and Surgeons of Canada. All applicants must verify all medical licenses from every state and country.
Arizona Arizona Medical Board ; 9545 E Doubletree Ranch Road Scottsdale, AZ 85258 ; Phone: 480-551-2700 Fax: 480-551-2701; C. Lloyd Vest, II, Executive Director Electronic comments: http://azmd.gov/Contact/ContactEmail.aspx; Website: http://azmd.gov/	No reciprocity Physicians licensed in another state do not have to meet the requirement to complete the USMLE within 7 years.		Must have ECFMG certificate, or completed a Fifth Pathway program, or completed 3 years as a full-time assistant professor or a higher position in an approved school of medicine.	Score of 75 on: a) all 3 steps of USMLE; b) NBME I and II & USMLE Step 3 or FLEX II; c) FLEX I and USMLE Step 3; d) NBME I or USMLE Step 1, plus NBME II or USMLE Step 2, plus NBME III or FLEX II.	U.S. & Canadian graduates must have 1 year of training in an approved program. IMGs must have 3 years of accredited training in the U.S. or Canada, or completed a Fifth Pathway program, or completed 3 years as a full-time assistant professor or a higher position in an approved school of medicine.

State	Reciprocity/ Endorsement	ECFMG Certificate	Qualifying Exams	Other
Arkansas Arkansas State Medical Board ; 1401 West Capital Ave Suite 340 Little Rock, AR 72201 ; Phone: 501-296-1802 Fax: 501-603-3555 Peggy Cryer, Executive Secretary; Electronic comments: http://www.armedicalboard.org/support/contact.aspx Website: www.armedicalboard.org	No reciprocity AR must re-verify all the information, exam results and education Full credentialing if the applicant passed USMLE for another U.S. state.	ECFMG certificate required except Canadians with LMCC exam results	USMLE, LMCC, FLEX, NBME, NBOME, COMLEX, or state board examinations taken prior to 1975	IMGs are required to have 3 years of postgraduate training in the U.S. unless they are currently enrolled in a training program at the University of Arkansas for Medical Sciences and have completed one year of training. All documents must be submitted using AR Board’s CVO.

State	Reciprocity/ Endorsement	ECFMG Certificate	Qualifying Exams	Other
California Medical Board of California ; 2005 Evergreen Street Suite 1200 Sacramento, CA 95815 ; Phone: 916-263-2389 Fax: 916-263-2387 Linda Whitney, Executive Director Email: webmaster@mbc.ca.gov Website: http://www.mbc.ca.gov/	No reciprocity. For endorsement, applicants must hold an unrestricted medical license issued by a state or Canadian province, or as a member of the active military, United States Public Health Services, or other federal program, for a period of at least four years.	ECFMG certificate required unless applicant passed FLEX prior to June 1, 1986	USMLE – must pass Step 3 within 4 attempts Must pass exam within 10 years or will be required to also pass SPEX or a clinical competency written exam determined by the board to be equivalent	Original school transcripts sent directly from every medical school attended Certified copy of MD Fingerprint cards or a completed Live Scan form and 1 photograph are required Must provide SSN Documents not in English must be officially translated Must have official Letter of Good Standing sent directly to the Board from each licensing authority.

State	Reciprocity/ Endorsement	ECFMG Certificate	Qualifying Exams	Other
Colorado Colorado Medical Board ; 1560 Broadway Suite 1350; Denver, CO 80202-5140 ; Phone: 303-894-7800 Fax: 303-894-7693 Lauren Larson, Program Director Email: dora_registrations@state.co.us Website: www.dora.state.co.us/medical	No reciprocity Endorsement only if physician actively practiced for 2 years immediately preceding application	ECFMG required from international graduates except Canadians Must pass ECFMG exam	NBME, USMLE, FLEX, state written exam or an approved combination of NBME, USMLE & FLEX	IMGs must document 3 years of clinical based postgraduate training in the U.S. or Canada Must provide SSN; IMGs with no SSN must submit affidavit

State	Reciprocity/ Endorsement	ECFMG Certificate	Qualifying Exams	Other
Connecticut Connecticut Medical Examining Board 410 Capitol Ave. PO Box 340308 Hartford, CT 06134 ; Phone: 860-509-7603 Fax: 860-707-1921 ; Email: dph.healingarts@ct.gov Website: http://www.ct.gov/dph/cwp/view.asp?a=3121&q=389500	No reciprocity Past licensing tests results for other states may be accepted (no need to re-take exams)	ECFMG Certificate or certification of completion of Fifth Pathway Program	USMLE, NBME, FLEX (with a passing score of 75), NBOME, LMCC or an acceptable combination.	Graduation of an approved U.S. or Canadian school, Fifth Pathway program, or ECFMG plus 2 years of accredited post- graduate training for all applicants Must provide SSN

Delaware Delaware Board of Medical Licensure and Discipline Cannon Building Suite 203
861 Silver Lake Blvd. Dover, DE 19904
Phone: 302-744-4500 Fax: 302-739-2711 David C. Mangler, Executive Director Email: customerservice.dpr@state.de.us Website: http://dpr.delaware.gov/boards/medicalpractice/index.shtml No reciprocity ECFMG certificate required. USMLE, FLEX, SPEX, NBME, NMOME, LMCC or combination, depending upon years when exams taken U.S. and Canadian grads must complete 1 year of accredited post-graduate training in the U.S. IMGs must complete 3 years of accredited post-graduate training in the U.S. Board must receive Verification of Physician License form directly from each jurisdiction where applicant has held a license Personal interview is required. Applicants without SSN must submit exemption form.

State	Reciprocity/ Endorsement	ECFMG Certificate	Qualifying Exams	Other
Washington, DC District of Columbia Board of Medicine 899 North Capitol Street, NE, Washington, D.C. 20002 ; Phone: 877-672-2174 Fax: 202-724-5145 Joxel Garcia, Executive Director Website: http://doh.dc.gov/bomed	No reciprocity	ECFMG certificate required.	FLEX, NBME, NBOME or USMLE	Graduation from an approved school in the U.S. or Canada. IMGs must meet all requirements to be eligible to practice medicine in the international community. IMGs must have successfully completed 2 years of postgraduate clinical training in the U.S. Must provide a notarized translation from an accepted translation service if a document is not in English.

State	Reciprocity/ Endorsement	ECFMG Certificate	Qualifying Exams	Other
Florida Florida Board of Medicine ; 4052 Bald Cypress Way, BIN #C10; Tallahassee, FL 32399-3251 ; Phone: 850-488-0595 Fax: 850-245-4444 Email: MedicalQualityAssurance@doh.state.fl.us Website: http://flboardofmedicine.gov/	Yes An applicant who has actively practiced medicine in another state for at least 2 of the immediately preceding 4 years; and IMGs must have completed an ACGME approved residency of at least 2 years in one specialty area in the U.S, Canada or Puerto Rico.	ECFMG certificate required from international graduates	USMLE, FLEX, NBME, LMCC or SPEX exam (if other exams not taken and have been practicing in the U.S. or Canada for over 10 years).	Graduates of Canadian schools need only 1 year of postgraduate training. Must be graduate of international medical school registered with WHO. Documents...