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Get the information you need to find out your State’s specific Initial Medical Licensure requirements …
See notes on the left of this chart for key to abbreviations.
| State | Minimum Postgraduate Training Required |
Number of attempts at Licensing Examination | Time Limit for Completing Licensing Examination Sequence |
| Alabama (334) 242-4116 Application packet $20 Application fee $175 non-refundable Accepts FCVS |
1 year; 3 years IMG | 3+ attempts at USMLE Step 3; 10 attempts at all USMLE Steps; No limit on COMLEX | 7 years to successfully complete all USMLE Steps; No limit on COMLEX |
| Alaska (907) 269-8163 Application fee $250, non-refundable, License fee $590 Accepts FCVS |
2 years; 3 years IMG | 2 attempts per USMLE Step; 2 attempts per COMLEX Level | 7 years to complete USMLE; 10 years for MD/PhD candidates; 7 years to complete COMLEX |
| Arizona Medical (480) 551-2700 Application fee $500 Accepts FCVS |
1 year; 3 years IMG | No limit on USMLE | 7 years to complete USMLE if initial licensure / No limit if already licensed |
| Arizona Osteopathic (480) 657-7703 Application fee $400 Accepts FCVS |
1 year | No limit on COMLEX | No limit on COMLEX |
| Arkansas (501) 296-1802 Application fee $500 Does not accept FCVS |
1 year; 3 years IMG unless currently enrolled in training program through Univ of Arkansas for Medical Sciences. | 6 attempts per USMLE Step; No limit on COMLEX | 7 years to complete USMLE; 10 years for MD/PhD candidates; No limit on COMLEX |
| California Medical (916) 263-2382 (800) 633-2322 Licensing fee $805 Application fee $493 non-refundable Limited acceptance of FCVS |
1 year; 2 years IMG | 4 attempts at USMLE Step 3 | Passing scores on a written/computerized exam shall be valid for a period of ten (10) years from the month of the examination |
| California Osteopathic (916) 928-8390 Application fee $251 non-refundable Limited Acceptance of FCVS |
1 year | No limit on COMLEX | No limit on COMLEX |
| Colorado (303) 894-7690 Application fee $522 Accepts FCVS |
1 year; 3 years IMG | No limit on USMLE; No information available on COMLEX | 7 years from first sitting to complete USMLE or COMLEX; 10 years for MD/PhD or DO/PhD candidates |
| Connecticut (860) 509-7603 Application fee $565 Accepts FCVS |
2 years | No limit on USMLE; No limit on COMLEX | 7 years to complete USMLE; No limit on COMLEX |
| Delaware (302) 744-4500 See chart on website for fees http://dpr.delaware.gov Accepts FCVS |
1 year; 3 years IMG | No information at this time | No information at this time |
| Washington, DC (202) 724-4900 Application fee $305 License fee $500 Accepts FCVS |
1 year; 3 years IMG | 3 attempts at USMLE Step 3; After which one additional year of postgraduate training is required. No limit on COMLEX | 7 years to complete USMLE; No limit on COMLEX |
| Florida Medical (850) 245-4131 Application fee $547 Highly recommends FCVS |
1 year; 2 years IMG | No limit on USMLE | No limit on USMLE |
| Florida Osteopathic (850) 245-4161 Call for application fee Highly recommends FCVS |
1 year in an AOA-approved program | No limit on COMLEX | No limit on COMLEX |
| Georgia (404) 656-3913 Application fee $400 Accepts FCVS |
1 year; 3 years IMG | 3 attempts per USMLE Step; No limit on COMLEX | 7 years to complete USMLE; 9 years to complete USMLE if in MD/PhD program; No limit on COMLEX |
| Guam (671) 735-7406 (671) 735-7408 Application fee $150 License fee $250 Accepts FCVS |
1 year; Applicants must complete 36 months progressive approved training in US program. | No information at this time | No information at this time |
| Hawaii (808) 586-3000 Call for application and license fee information Accepts FCVS |
1 year; 2 years IMG | No limit on USMLE or COMLEX | 7 years to complete USMLE; No limit on COMLEX |
| Idaho (208) 327-7000 Licensure fee $400 by endorsement; Accepts FCVS |
1 year; 3 years IMG | 2 attempts per USMLE Step; No limit on COMLEX | 7 years to complete USMLE (10 years for MD/PhD candidates); No limit on COMLEX |
| Illinois (217) 782-8556 Application fee $300 Accepts FCVS |
2 years | 5 attempts at all USMLE Steps combined; 5 attempts at COMLEX Levels combined | 7 years to complete USMLE; No limit on COMLEX |
| Indiana (317) 234-2060 Application fee $250 Accepts FCVS |
1 year; 2 years IMG | 3 attempts per USMLE Step; 5 attempts per COMLEX Level | 10 years to complete USMLE; 7 years to complete COMLEX |
| Iowa (515) 281-5171 Licensure fee $505 Accepts FCVS |
1 year; 2 years IMG | 6 attempts at both USMLE Step 1 and 2; 3 attempts at USMLE Step 3; 6 attempts at both COMLEX Levels 1 and 2; 3 attempts at COMLEX Level 3. Three years of approved postgraduate training required if outside the attempt limit. | 10 years to complete USMLE or COMLEX; 10 years for MD/PhD or DO/PhD candidates. Note: Board certification by ABMS or AOA is required if the applicant has not met the specified time period. |
| Kansas (785) 296-7413 Application fee $300 Accepts FCVS |
1 year; 3 years IMG (minimum 2 years must have been in US program) | 3+ attempts at USMLE Step 3 or COMLEX Level 3 | 10 years to complete USMLE or COMLEX |
| Kentucky (502) 429-7150 Application fee $300 Requires FCVS |
2 years | 4 attempts per USMLE Step; 4 attempts per COMLEX Level | No limit on USMLE or COMLEX |
| Louisiana (504) 568-6820 License fee $382 non-refundable Requires FCVS |
1 year; 3 years IMG | No limit at USMLE Step 1or COMLEX Level 1; 4 attempts each at USMLE Steps 2 and 3 or COMLEX Levels 2 and 3 | 10 years to complete USMLE or COMLEX |
| Maine Medical (207) 287-3601 Licensure & registration $700 Requires FCVS |
US/Canadian medical school graduates who graduated after 7/1/04 must complete 3 years of postgraduate training. (Those who graduated before 7/1/04 are only required to complete 2 years of PGT.) IMGs 3 years. | 3+ attempts at USMLE Step 3. More than 3 attempts requires a request for a waiver. | 7 years to complete USMLE. More than 7 years requires a request for a waiver. |
| Maine Osteopathic (207) 287-2480 Application fee $350 by endorsement Accepts FCVS |
1 year in AOA approved program | No limit on COMLEX | No limit on COMLEX |
| Maryland (800) 492-6836 Licensure $816 US/$916 IMG Accepts FCVS |
1 year; 2 years IMG | 4 attempts at each USMLE Step or COMLEX Level | 10 years to complete USMLE or COMLEX |
| Massachusetts (800) 377-0550 Licensure $600 Accepts FCVS |
1 year; 2 years IMG | 6 attempts at USMLE Step 3; No limit on COMLEX | 7 years to complete USMLE with exceptions for MD/PhD or DO/PhD candidates; No limit on COMLEX |
| Michigan Medical (517) 335-0918 Professional license $150 Controlled substance license $85 The fee for both $235 Accepts FCVS |
2 years | No limit on USMLE | 5 years to pass USMLE Step 3 |
| Michigan Osteopathic (517) 335-0918 Professional license $150 Controlled substance license $85 The fee for both $235 Accepts FCVS |
1 year in AOA approved program | No limit on COMLEX | No limit on COMLEX |
| Minnesota (612) 617-2130; Hearing impaired (800) 627-3529 Licensure fee $392 Accepts FCVS |
1 year; 2 years IMG | 3 attempts at each USMLE Step; No limit on COMLEX. Effective 04/11/08, 4 attempts allowed if current license in another state and current certification by specialty board of ABMS, AOABPE, RCPSC, CFPC. | Beginning 8/1/07 USMLE Step 3 must be passed within five years of Step 2 or before the end of residency training. |
| Mississippi (601) 987-3079 Online application fee $550 Paper application fee $600 Accepts FCVS |
1 year; 1-3 years IMG | 3 attempts at USMLE Step 3; No limit on COMLEX | 7 years to complete USMLE; No limit on COMLEX |
| Missouri (573) 751-0098 By examination $300 Accepts FCVS |
1 year; 3 years IMG | 3 attempts at USMLE Step 3; 3 attempts on COMLEX | 7 years to complete USMLE (waived for MD/PhD candidates); No limit on COMLEX |
| Montana (406) 841-2364 (406) 841-2361 Licensure fee $325 Accepts FCVS |
2 years; 3 years IMG | 3 attempts at USMLE Step 3; No limit on COMLEX | 7 years to complete USMLE (exceptions possible for MD/PhD candidates); No limit on COMLEX |
| Nebraska (402) 471-2118 Licensure by examination $300 Licensure by reciprocity $300 Does not accept FCVS |
1 year; 3 years IMG | 4 attempts+ at each USMLE Step; 4 attempts+ at each COMLEX Level | 10 years to complete USMLE or COMLEX beginning with date 1st Step/Level is passed. |
| Nevada (775) 688-2559 For specific fee information please contact the board or check www.medboard.nv.gov Accepts FCVS |
3 years | Must pass all 3 Steps of USMLE in not more than a total of 9 attempts and must pass Step 3 in not more than a total of 3 attempts | MD must pass all Steps of the exam within 7 years after the date on which the applicant first passes any Step of the exam; PhD must pass all Steps of the exam within 10 years after the date on which the applicant first passes any Step of the exam |
| Nevada Osteopathic (702) 732-2147 Application and initial licensure fee $650 Requires FCVS |
3 years for full license OR 2 years if resident signs commitment to practice in NV | No limit on COMLEX | No limit on COMLEX |
| New Hampshire (603) 271-1203 Application fee $250 Requires FCVS |
2 years | 3 attempts at each USMLE Step or COMLEX Level | No limit on USMLE or COMLEX |
| New Jersey (609) 826-7100 Contact the state board for licensure information and fees Accepts FCVS |
US and IMG graduates who graduated after 7/1/03 must complete 2 years of postgraduate training and have signed a contract for a 3rd year in an accredited program. At least 2 of the years must be in the same field. Graduates prior to 7/1/03: 1 year; 3 years IMG. | 5 attempts at USMLE Step 3; No information available on COMLEX | 7 years to complete USMLE; No information available on COMLEX |
| New Mexico Medical 505-476-7220 Contact the board for specific fee information or check www.nmmb.state.nm.us Highly recommends FCVS |
2 years | 6 attempts per USMLE Step | 7 years to complete USMLE; 10 years for MD/PhD candidates |
| New Mexico Osteopathic (505) 476-4950 Contact the state board for licensure and fee information Highly recommends FCVS |
1 year | No limit on COMLEX | No limit on COMLEX |
| New York (518) 474-3817 Ext. 560 The fee for licensure is $735 Highly recommends FCVS for domestic graduates. IMGs-FCVS required |
1 year; 3 years IMG | No limit on USMLE or COMLEX | No limit on USMLE or COMLEX |
| North Carolina (919) 326-1100 Full licensure fee $350 Requires FCVS (Sub’s) |
1 year; 3 years IMG | 6 attempts per USMLE Step; No limit on COMLEX | USMLE Step 3 shall be passed within seven years of the date of passing Step 1 OR within 10 years if the reason for the delay is based on applicant obtaining an MD/PhD degree |
| North Dakota (701) 328-6500 Application fee $200 Accepts FCVS |
1 year; 3 years IMG | 3 attempts at each USMLE Step or COMLEX Level | 7 years to complete USMLE or COMLEX |
| Northern Mariana Islands (670) 664-4811 Contact the State Board for licensure or fee information Does not accept FCVS |
No information available at this time | No information available at this time | No information available at this time |
| Ohio (614) 466-3934 Contact State Board for licensure or fee information Requires FCVS |
1 year; 2 years IMG | Four attempt limit on each Step or Level on USMLE or COMLEX | Ten years to complete USMLE or COMLEX (possible waiver good cause if over ten years) |
| Oklahoma Medical (800) 381-4519 Application fee $400 Temporary approved $200 Resident $200 Accepts FCVS |
1 year; 2 years IMG | 3 attempts at each USMLE Step (Step 2 = CK & CS) |
10 years to complete USMLE |
| Oklahoma Osteopathic (405) 528-8625 Application fee $575 Accepts FCVS |
1 year | No limit on COMLEX | No limit on COMLEX |
| Oregon (971) 673-2700 License application fee $375 Accepts FCVS |
1 year; 3 years IMG | 3 attempts + 1 year postgraduate training at USMLE Step 3; 3 attempts + 1 year postgraduate training at COMLEX Level 3 (waiver of 1 year postgraduate training + 4th attempt if ABMS /AOA certified). | 7 years to complete USMLE or COMLEX (possible waiver for dual degree candidates; individuals with personal illness; current certification by ABMS or AOA; or completion of postgraduate training equivalent to number of years to a dual degree program). |
| Pennsylvania Medical (717) 787-2381 Application fee accredited medical college $35 Unaccredited medical college $85 Accepts FCVS |
2 years; 3 years IMG | No limit | No limit |
| Pennsylvania Osteopathic (717) 783-4858 License/exam fee $215 Application fee $45 Does not accept FCVS |
1 year | No limit on COMLEX | No limit on COMLEX |
| Puerto Rico (787) 782-8928 Contact the state board for licensure or fee information Does not accept FCVS |
1 year | No limit on USMLE | USMLE Step 3 shall be passed within 7 years of the date of passing Step 1. |
| Rhode Island (401) 222-3855 / Fax:(401) 222-2158 Application fee $570 Controlled substance registration $140 Requires FCVS |
2 years; 3 years IMG | 3 attempts at each USMLE Step; 3 attempts at each COMLEX Level | 7 years to complete USMLE; No information available on COMLEX |
| American Samoa | No information available at this time | No information available at this time | No information available at this time |
| South Carolina (803) 896-4500 Application fee $600 Requires FCVS |
1 year; 3 years IMG | 4 attempts per USMLE Step and COMLEX Level | 10 years to complete USMLE or COMLEX |
| South Dakota (605) 367-7781 Application fee $200 Highly recommends FCVS |
Successful completion of residency program | 3 attempts per USMLE Step and COMLEX Level | 7 years to complete USMLE or COMLEX |
| Tennessee Medical (615) 532-4384 Application fee $410 Accepts FCVS |
1 year; 3 years IMG | No limit on USMLE | 7 years to complete USMLE |
| Tennessee Osteopathic (615) 532-4384 Application fee $410 Accepts FCVS |
1 year | No limit on COMLEX | No limit on COMLEX |
| Texas (512) 305-7030 Application fee $885 Accepts FCVS |
1 year; 3 years IMG | 3 attempts at each USMLE Step or COMLEX Level. (Exceptions may apply – see TMB website for more information www.tmb.state.tx.us) | 7 years+ to complete the USMLE or COMLEX. (Exceptions may apply – see TMB website for more information www.tmb.state.tx.us) |
| Utah Medical (801) 530-6628 Application fee $200 Requires FCVS |
2 years | 3 attempts at USMLE Step 3 | 7 years to complete USMLE; 10 years for MD/PhD candidates |
| Utah Osteopathic (801) 530-6628 Application fee $200 Requires FCVS |
2 years | 3 attempts at each COMLEX Level | 7 years to complete COMLEX; 10 years for DO/PhD candidates |
| Vermont Medical (802) 657-4220 Licensure fee $500 Accepts FCVS |
1 year; 3 years IMG | 3 attempts at USMLE Step 3 | 7 years to complete USMLE |
| Vermont Osteopathic (802) 828-2373 Licensure fee $400 Accepts FCVS |
1 year rotating internship or 3 year residency program | No information available at this time | No information available at this time |
| Virgin Islands (340) 774-0117 SPEX Exam fee $800 Requires FCVS |
6 months required after 2 attempts for SPEX exam | Must take SPEX (only given in May and November) and an oral exam. 2 attempts | 3 years to pass the 2 attempts allowed re-examinations. 1 year limitation to take the oral exam after passing written. |
| Virginia (804) 662-9908 Licensure fee $302 Accepts FCVS |
1 year; 2 years IMG | No limit on USMLE | 10 years to complete USMLE; Greater than 10 years if candidate is ABMS certified. |
| Washington Medical (360) 236-2750 Application fee $325 Accepts FCVS |
2 years | 3 attempts at USMLE Step 3 | 7 years+ to complete USMLE |
| Washington Osteopathic (360) 236-4945 Licensure fee $825 Accepts FCVS |
1 year | No limit on COMLEX | No limit on COMLEX |
| West Virginia Medical (304) 558-2921 ext. 221 Licensure fee $300 Accepts FCVS |
1 year; 3 years IMG | 3 attempts per USMLE Step | 10 years to complete USMLE |
| West Virginia Osteopathic (304) 723-4638 Reciprocity or Endorsement $200 Does not accept FCVS |
1 year | No limit on COMLEX | No limit on COMLEX |
| Wisconsin (608) 266-2112 Initial fee $125 Accepts FCVS |
1 year | 3+ attempts per USMLE Step; N/A on COMLEX | USMLE Step 3 shall be passed within 10 years of the date of passing Step 1; N/A on COMLEX |
| Wyoming (307) 778-7053 Licensure fee $400 Temporary license $200 Requires FCVS Web page: http://wyomedboard.state.wy.us |
1 year | Seven total attempts on USMLE or COMLEX | Seven years (eight years if in combined DO or MD/PhD program) |
Abbreviations Key
IMG – International medical school graduates
NA – Not Applicable
NL – No Limit
COMLEX – Comprehensive Osteopathic Medical Licensing Examination (Levels 1, 2, 3)
USMLE – United States Medical Licensing Examination (Steps 1, 2, 3)
Attempt Limits – unless otherwise indicated these represent allowable attempts at Step 3
+ – indicates more attempts allowed on conditional basis with board approval or a longer time frame is considered for completion of licensing exam sequence, e.g., extended time for MD/PhD candidates.
* – The Maryland board allows 4 attempts at each USMLE Step. However, after the 3 rd failed attempt at a Step, an individual would be required to complete an additional year of post-graduate training beyond what is listed on the chart.
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