RESOURCES

Licensure

Licensure to practice medicine in U.S. for Caribbean medical schools graduates is governed by each individual state, and each state has its own specific requirements. In order to better understand the requirements of the state(s) in which students intend to practice, they should contact the state licensing board and request an application for medical licensure.

Currently, all U.S. states require a diploma, an ECFMG certificate, and passing scores on USMLE Step 1, Step 2 CK and Step 2 CS, and Step 3. Additionally, all states require completion of some residency training, with the number of years varying from state to state. The addresses of all the state licensing boards can be found on the website of the Federation of State Medical Boards (FSMB.org).

Please Note: Many states have requirements beyond the evaluation of medical school experience, therefore all students should be advised to make very specific inquiries of those states, where they might have an interest in practicing.

The information provided on this page should serve only as a basic guide. Our Clinical Department will review the requirements frequently to make necessary updates. Students are advised to contact the individual state medical boards to verify the information provided below.

Choose your state
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

Endorsement / Reciprocity?

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

ECFMG Certificate

Yes

If not LCME accredited

Except some schools that are not approved

Qualifying Exams

USMLE part 1,2,3

OR

FLEX, NBOME, LMCC

Other

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
www.dced.state.ak.us/occ/pmed.htm

Endorsement / Reciprocity?

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

ECFMG Certificate

Yes

Required from all foreign graduates

Qualifying Exams

USMLE Step 3

Minimum 75

Other

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 Canadian Pharmacy

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

Endorsement / Reciprocity?

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)

ECFMG Certificate

Yes

For all non-approved medical school graduates

Except if applicant completed fifth pathway program

Qualifying Exams

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.

Other

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 certificate 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

Endorsement / Reciprocity?

No reciprocity

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

ECFMG Certificate

ECFMG certificate, except Canadians with LMCC exam results

Qualifying Exams

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

Other

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

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate (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)

Qualifying Exams

Other

All medical education completed atapproved medical schools

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

Endorsement / Reciprocity?

Yes

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

ECFMG Certificate

ECFMG required from foreign graduates except Canadians

Qualifying Exams

Passage of:

NBME and USMLE

Or

LMCC

Or

FLEX

Combinations available

Other

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

Endorsement / Reciprocity?

No reciprocity

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

ECFMG Certificate

ECFMG

Certificate

Qualifying Exams

USMLE 1+2+3

Or

FLEX

Or

NBME

Or

Combination

Other

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.

Endorsement / Reciprocity?

No reciprocity

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

ECFMG Certificate

ECFMG

Except Canadians

Qualifying Exams

USMLE 1+2+3

Or

FLEX

Or

NBME

Or combination

Depending upon years when exams taken

Other

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

District of Columbia

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

Endorsement / Reciprocity?

ECFMG Certificate

Qualifying Exams

USMLE 1+2+3

Other

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

Endorsement / Reciprocity?

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

ECFMG certificate required from foreign graduates

Or fifth pathway

Qualifying Exams

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

Other

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

Endorsement / Reciprocity?

No reciprocity

Exams may be waived if taken previously for another state

Must meet all GA requirements

ECFMG Certificate

ECFMG certificate for all IMGs

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

Qualifying Exams

USMLE steps 1+2+3

Or

Approved combination of various exams

(NBME, FLEX I and II, Canadian NCCQE)

Other

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

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate

Or

Fifth pathway certificate complying with AMA policy

For foreign medical school graduates

Or three years of approved residency

Qualifying Exams

FLEX components 1+2, NBME parts 1+2+3, USMLEsteps 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

Other

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

Endorsement / Reciprocity?

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

ECFMG

Certificate required

Qualifying Exams

USMLE

Or

NBME

Or

FLEX

Or State Boards

Other

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

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate required from foreign graduates

Qualifying Exams

USMLE 1+2+3

OR NBME, FLEX or SPEX or COMSPEX-USA

Or combination

Other

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 / Reciprocity?

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 Certificate

ECFMG certificate from foreign graduates

Or

VQE or FMGEMS certificate

Qualifying Exams

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

Other

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
www.docboard.org/ia/ia_home.htm

Endorsement / Reciprocity?

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

ECFMG Certificate

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

Qualifying Exams

USMLE

Or

NBME or

FLEX or

NBOME or

COMLEX or

LMCC or

A state structured exam

Other

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

Endorsement / Reciprocity?

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 Certificate

ECFMG required from foreign graduates (Except Canadians)

Qualifying Exams

USMLE 1,2,3

Or

FLEX

Or

LMCC

Or

NBME

Or

Approved combination

Other

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

Endorsement / Reciprocity?

Yes

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

ECFMG Certificate

ECFMG certificate required

Or

Diplomacy of an approved American specialty board

Qualifying Exams

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

Other

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 certificate 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

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate required of all foreign educated physicians

Qualifying Exams

USMLE steps 1+2+3

Or

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

Other

Graduation from an approved medical school

Foreign graduates must complete ECFMG certificate 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

Endorsement / Reciprocity?

No reciprocity

No need to re-take exams if passed them before

ECFMG Certificate

ECFMG certificate required from foreign educated physicians

Or one of the substitutions

Qualifying Exams

USMLE 1+2+3

Or

FLEX

Or NBME

Or approved combination

All exams must be completed within 7 years

Other

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

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate required from foreign graduates

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

Or

Approved combinations

Other

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

Endorsement / Reciprocity?

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

ECFMG Certificate for foreign graduates

Qualifying Exams

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

Other

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

Endorsement / Reciprocity?

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

ECFMG certificate for foreign graduates

Qualifying Exams

USMLE 1+2+3

Or:

FLEX

Or

NBME

Other

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

Endorsement / Reciprocity?

Yes

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

ECFMG Certificate

ECFMG certificate required prior to USMLE 3

Qualifying Exams

USMLE

1+2+3

Or

FLEX

Or

NBME

Or another examination taken previously

Other

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

Endorsement / Reciprocity?

Yes

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

ECFMG Certificate

ECFMG certificate required

Qualifying Exams

USMLE 3

Or

FLEX

Or NBME

Or combination

Other

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/

Endorsement / Reciprocity?

No reciprocity

Not necessary to re-take exams if passed before

ECFMG Certificate

ECFMG certificate required, valid and indefinite

Qualifying Exams

USMLE 1, 2, 3

 

Or

 

FLEX

Or

NBME

Or

LMCC

Or

Approved combination

Other

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

Endorsement / Reciprocity?

Yes

With prior exam results that are comparable to Montana

ECFMG Certificate

ECFMG for foreign graduates

Qualifying Exams

USMLE 1, 2, 3

Or

National boards (NBME)

Or

FLEX

Or

LMCC

Or

State exam

Other

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/

 

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate required

Qualifying Exams

USMLE 1+2+3

Or

NBME

Or

FLEX

Or

approved combination

Other

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

Endorsement / Reciprocity?

No reciprocity

Applicant does not have to re-take exams if passed them before

Applicants must prove compliance with NV requirements

ECFMG Certificate

ECFMG certificate required from all foreign graduates

Qualifying Exams

USMLE 1, 2, 3

Must be passed within 7 years

Or

FLEX

Or

NBME

Or

Approved combination

Other

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

Endorsement / Reciprocity?

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

ECFMG certificate required

Qualifying Exams

Passage of one of the following exams:

USMLE

NBME

FLEX

COMLEX

Or one of the acceptable combinations

Other

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

Endorsement / Reciprocity?

ECFMG Certificate

Qualifying Exams

Other

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

Endorsement / Reciprocity?

YES

License by endorsement Not reciprocity

If passed one of the approved exams and qualifying education

ECFMG Certificate

ECFMG

Certification required from foreign graduates (except Canadians)

Qualifying Exams

USMLE 1+2+3

Or

FLEX

Or

NBME

Or

State board if taken before 12/1973

Or

LMCC

Or approved combination

Other

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

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate required from all foreign graduates

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

Or

Approved combination

Other

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

Endorsement / Reciprocity?

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

ECFMG Certificate

Must have ECFMG certificate (un-expired certification only)

Qualifying Exams

USMLE

Or

FLEX

Or

LMCC

Or

NBME

Or

Combination

Other

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

Endorsement / Reciprocity?

ECFMG Certificate

ECFMG certificate 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

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

Or

LMCC

Or

Approved combination

Other

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/

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate required

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

Or

LMCC

Or

Approved combination

Other

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

Endorsement / Reciprocity?

Yes by endorsement

OK must verify all states where applicant is licensed in or by FCVS

ECFMG Certificate

ECFMG certificate required

Qualifying Exams

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)

Other

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

Endorsement / Reciprocity?

ECFMG Certificate

ECFMG standardcertification required from all graduates of foreign medical schools

Qualifying Exams

USMLE

Or

FLEX

Other

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

Endorsement / Reciprocity?

No reciprocity

If physician passed a licensing exam acceptable to the board, does not have to re-take the exam

ECFMG Certificate

ECFMG certificate required

Qualifying Exams

USMLE

Or

FLEX

Or

Another approved federation or state exam

Other

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

Endorsement / Reciprocity?

ECFMG Certificate

ECFMG certificate required

Qualifying Exams

USMLE

Or

NBME

Or

FLEX

Or

LMCC

Or

Approved combination

Other

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

Endorsement / Reciprocity?

ECFMG Certificate

Qualifying Exams

USMLE

Or

FLEX

Or

State Medical /Composite board examination

Or

SPEX

Or

Approved combination

Other

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

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate required

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

Passing score is 75% or higher

Other

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

Endorsement / Reciprocity?

ECFMG Certificate

ECFMG certificate required from all international medical graduates (notarized copy of original permanent certificate required)

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

Or

Approved combination

Other

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

Endorsement / Reciprocity?

ECFMG Certificate

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

Or

Approved combination

(all exams must be passed within three attempts)

PLUS TEXAS MEDICAL JURIS-PRUDENCE EXAM

Other

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

Endorsement / Reciprocity?

No reciprocity

Utah will accept previous exam results and therefore no need to re-take licensing exams if passed a licensing exam before

ECFMG Certificate

Must have ECFMG certificate

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

Or

LMCC

Or combination

Other

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

Endorsement / Reciprocity?

No reciprocity

Applicants do not have to re-take licensing exams if they have passed them before

ECFMG Certificate

Must have ECFMG certificate

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

Or

LMCC

Or

Combination

Other

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/

Endorsement / Reciprocity?

ECFMG Certificate

Must have ECFMG certificate or its equivalent from all graduates of non-approved schools

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

Or

LMCC

Or

approved combination

Other

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

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate required

Qualifying Exams

USMLE 1+2+3

Or

FLEX

Or

Another approved exam or combination

Other

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

Endorsement / Reciprocity?

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 Certificate

ECFMG certificate required from foreign graduates

Qualifying Exams

USMLE 1, 2, 3

Or

FLEX

Or

NBME

Or

Approved exams combination

Other

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 / Reciprocity?

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.

ECFMG Certificate

Foreign graduates must have ECFMG certificate

OR

FMGEMS (Foreign Medical Graduate Examination in the Medical Sciences)

Qualifying Exams

USMLE

Or

FLEX

Or

NBME

PLUS open book examination on Wisconsin Statutes and Administrative Code

PLUS

Oral examination

Other

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/

Endorsement / Reciprocity?

ECFMG Certificate

ECFMG certificate required from all international graduates

Qualifying Exams

USMLE

Or

FLEX

Or

National boards

Or

LMCC

Or an equivalent state exam

Or

combination

Other

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.