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.
- 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.
- Licensure as a Limited MD or DO Application (6 mos or 1 year) Requirements and Forms
- Licensure as a Limited MD or DO Application (14 Day) Requirements and Forms
- Licensure as a Permanent MD or DO Requirements and Forms
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.
- MD-DO Limited License Application for Renewal - 6 Month Renewal
- MD-DO Limited License Application for Renewal - 1 Year Renewal
- 14 Days Limited License
- Supervising Physician Form