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Medical license requirements by state

Find the right requirements for your next license.

Medical licensing requirements depend on the state, license type, education and training pathway. Find your state below, review its examination and training requirements, then confirm the details with the licensing board before you apply.

Use the state overview for a comparison starting point. The board’s current application and instructions determine what you need to submit.

Find your state

50 states + DC and territories

State licensing resources

What should I check? ↓

Each overview opens the FSMB state requirements guide. Board links take you to the relevant licensing authority, including separate osteopathic boards where listed.

Directory source: Federation of State Medical Boards. Requirements can change, and exceptions depend on the applicant. Confirm your specific pathway directly with the board.

Prepare with confidence

What to check in each state

01

Examination history

Check the accepted examination sequence, attempt limits, completion window and whether an exception or waiver applies.

02

Postgraduate training

Confirm the amount and type of approved training required for your educational background and application pathway.

03

International education

Review the board’s requirements for your medical school, credential verification, certification and any alternative pathway.

04

Practice history & assessment

Ask whether a practice gap, license status or examination history triggers additional review, SPEX, COMVEX or other assessment.

05

Application documents

Use the board checklist for identity, education, training, license verification, background checks and supporting records.

06

Costs & timing

Check current fees, processing information and deadlines. Licensing and payer enrollment are separate steps in your opening plan.

Common licensing questions

Are state attempt limits the same as USMLE eligibility rules?

No. USMLE’s examination eligibility policy and a state board’s licensing requirements serve different purposes. Check both before planning another attempt or submitting a license application. Start with the USMLE attempt-limit guidance and the relevant state board.

What do PGY, IMG, SPEX and COMVEX mean?

PGY refers to postgraduate training; IMG refers to an international medical graduate. SPEX and COMVEX are assessment examinations that a board may require in certain licensing or reentry situations. Ask the board whether an assessment applies to your circumstances.

Does a credentials profile give me a medical license?

No. Credentials verification and a license application are separate. FSMB’s FCVS profile can help verify credentials, while the licensing board decides whether to issue a license. See FSMB’s explanation of the Uniform Application and FCVS.

Keep your next steps connected

Build licensing into your practice plan.

Use our free credentialing checklist to organize provider information, then explore PPS licensing support if you need help coordinating the work.

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