Physician and Surgeon
Applications
These forms may be completed online, however, they cannot be submitted via e-mail due
to the fact that all applications and forms require original signatures. If you complete
the form online, you must print the form and mail it to the address listed.
Application for License to
Practice Medicine and Surgery
Criminal Background Check (now required
for initial licensure)
Deadlines for Board Review
Certificate of Post-Graduate
Medical Education
Verification of Foreign Medical
College
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