Physicians - M.D. & D.O.

Online Electronic Application

We have online electronic application for initial applicants.

This electronic application will allow you to upload the required documentation and make payment via Visa/Mastercard or Electronic Check. Print the supplemental forms and instructions from the applicable link below. This electronic application is only available for first-time applicants.

  1. The below applications are available for electronic application. Select the credential and download the forms and instructions needed for the electronic application. Then proceed to number 2 to submit your online electronic application.
  2. Click here to begin your electronic application
Paper Application

Below are paper applications that may be filled out and mailed in to the Board. The forms below may not be used in conjunction with the online electronic application listed above.

Renewal Application

Academic License

Limited License

Permanent License

Volunteer License