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State-Specific Requirements For Initial Medical Licensure

State Requirements

A-B    C-D    E-F    G-H    I-J    K-L    M    N    O    P-S    T-U    V    W-Z

 

State

               Minimum Postgraduate              
 Training Required

Number of attempts at
Licensing Examination

Time Limit for Completing
Licensing Examination Sequence

Alabama
(334) 242-4116
All fees non-refundable
Accepts FCVS
1 year ACGME training for US grads and 3 years ACGME training for IMG’s 4th attempt at USMLE Step 3 following proof of formal training after the 3rd attempt; 10 attempts at all USMLE Steps; No limit on COMLEX

7 years to successfully complete all USMLE Steps; No limit on COMLEX (if board certified by one of the ABMS approved boards can complete all parts in 10 years)

Alaska
(907) 269-8163

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
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
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
Arkansas
(501) 296-1802
Accepts FCVS
1 year; 3 years IMG unless currently enrolled in training program through University of Arkansas for Medical Sciences. 3 attempts per USMLE Step; 3 attempts per COMLEX Level No limit on USMLE or COMLEX
California Medical 
(916) 263-2382
(800) 633-2322
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 
Limited Acceptance of FCVS
1 year No limit on COMLEX No limit on COMLEX
Colorado
(303) 894-7690 
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
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 more than six attempts to pass each step 7 years to complete USMLE
Washington, DC
(202) 724-4900
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
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
Accepts FCVS
1 year; 1 year if IMG is on list; 3 years IMG if not on list 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
No information at this time No information at this time No information at this time
Hawaii
(808) 586-3000
Accepts FCVS
1 year; 2 years IMG No limit on USMLE or COMLEX No limit on USMLE or COMLEX
Idaho
(208) 327-7000
Accepts FCVS
Requires Uniform Application
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
(800) 560-6420
Accepts FCVS
24 months of training 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
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
Accepts FCVS
Utilizes Uniform Application
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
Accepts FCVS
1 year; 3 years IMG (minimum 2 years in a ACGME approved program) 3+ attempts at USMLE Step 3 or COMLEX Level 3 10 years to complete USMLE or COMLEX
Kentucky
(502) 429-7150
Requires FCVS
2 years Step or Level 1-4 attempts, Step or level 2 CK-4 attempts, Step or level 2 CS-4 attempts, Step or level 3-4 attempts No limit on USMLE or COMLEX
Louisiana
(504) 568-6820
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
Requires FCVS
US/Canadian medical school graduates who graduated after 7/1/04 must complete 3 years of ACGME accredited postgraduate training. (Those who graduated before 7/1/04 are only required to complete 2 years of ACGME accredited PGT.) IMGs 3 years of ACGME accredited.             3 attempts at USMLE Step 3. More than 3 attempts requires a request for a waiver. 7 years to complete exam sequence (NBME, USMLE, and FLEX) More than 7 years requires a waiver.
     
Maine Osteopathic
(207) 287-2480
Accepts FCVS
1 year in AOA approved program No limit on COMLEX No limit on COMLEX
Maryland
(800) 492-6836
Accepts FCVS
1 year; 2 years IMG Unlimited attempts at each USMLE Step or COMLEX Level No time limit. There are additional requirements if an applicant fails an exam 3 or more times (See Health Occupations Article, Section 14-307(g))
Massachusetts
(781) 876-8200
Accepts FCVS
Prior to January 2014, 2 years for domestic graduates and 2 years for IMGs.
After January 2014, 2 years for domestic graduates and 3 years for IMGs.
3 attempts at USMLE Step 3 or COMLEX (See Board Regulations 243 CMR 2.02 (3)(b).)

 

7 years to complete USMLE or COMLEX. May request a waiver under specific conditions. (See Board Regulations 243 CMR 2.02 (3)(c)(2).)

Michigan Medical
(517) 335-0918
Accepts FCVS
2 years 3 attempts at each USMLE Step

 

Must pass all Steps of the USMLE within 7 years from the date of first passing any Step of the exam.  Must pass Step 3 within 4 years of the first attempt at Step 3 or must complete 1 year of post-graduate training before making additional attemps at Step 3. 

Michigan Osteopathic
(517) 335-0918
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
Accepts FCVS
1 year; 2 years IMG

3 attempts at each USMLE Step; 4 attempts allowed if current license in another State and current certification by specialty board of ABMS, AOABPE, RCPSC, CFPC. All three levels of Comlex must be passed within 6 attempts.

USMLE Step 3 must be passed within five years of Step 2 or before the end of residency training.
Mississippi
(601) 987-3079
Accepts FCVS
1 year; 1-3 years IMG 3 attempts at each Step; No limit on COMLEX 7 years to complete USMLE; No limit on COMLEX
Missouri
(573) 751-0098
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
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
Accepts 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 Medical
(775) 688-2559
Accepts FCVS

3 years. An unlimited license may be granted to currently enrolled residents in a post graduate training program in the U.S. or Canada, that have completed at least 24 months of progressive post graduate training and meet all requirements for an unlimited license in the state of Nevada, including having passed all three (3) steps of USMLE within the time period allowed by NAC 630.080 and commit in writing to the Nevada State Board of Medical Examiners that they will complete the program and provide satisfactory completion of the program within sixty (60) days after the scheduled completion of the program.

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
Accepts 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
Requires FCVS
2 years 3 attempts at each USMLE Step or COMLEX Level No limit on USMLE or COMLEX
New Jersey
(609) 826-7100
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
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) 476-4622
Highly recommends FCVS
1 year No limit on COMLEX No limit on COMLEX
New York
(518) 474-3817 Ext. 560
Accepts FCVS for domestic graduates
IMGs-FCVS required
Domestic 1 year; 3 years IMG No limit on USMLE or COMLEX No limit on USMLE or COMLEX
North Carolina
(919) 326-1100
Doesn’t require FCVS unless previously established a profile
1 year; 3 years IMG 3 attempts per USMLE Step; 3 attempts per COMLEX Level No time limit for passing all three steps
North Dakota
(701) 328-6500
Accepts FCVS
1 year; 30 months IMG of ACGME accredited training 3 attempts at each USMLE Step or COMLEX Level 7 years to complete USMLE or COMLEX
Northern Mariana Islands
(670) 664-4811
Accepts FCVS
No information available at this time No information available at this time No information available at this time
Ohio
(614) 466-3934
Requires FCVS
1 year; 2 years IMG An applicant for licensure has a total of 5 attempts (or 5 times to fail) a USMLE Step or COMLEX Level. The applicant must have passed on the 6th attempt.  10 years to complete USMLE or COMLEX (possible waiver good cause if over 10 years)
     
Oklahoma Medical
(800) 381-4519
Accept 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
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
Oregon
(971) 673-2700
Accepts FCVS
1 year; 3 years IMG 3 attempts at USMLE step 3/COMLEX level 3. 4th attempt after additional 1 year postgraduate training. Waiver of attempt requirement may be available if ABMS/AOA certified. 7 years to complete USMLE or COMLEX
Pennsylvania Medical
(717) 783-1400 main number
(717) 787-2381
Accepts FCVS
2 years; 3 years IMG No limit on USMLE 7 years to complete USMLE
     
Pennsylvania Osteopathic
(717) 783-4858
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
Puerto Rico
(787) 782-8928
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
Requires FCVS
2 years; 2 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
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
Highly recommends FCVS for International Medical Graduates only.
Successful completion of residency program Allowed three (3) attempts, must pass on third, for the USMLE or COMLEX examination 7 years to complete USMLE or COMLEX; 10 years for Dual Program Degree MD-PhD Applicant
Tennessee Medical
(615) 532-4384
Accepts FCVS
1 year; 3 years IMG No limit on USMLE 7 years to complete USMLE
     
Tennessee Osteopathic
(615) 532-4384
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
Texas
(512) 305-7030
Accepts FCVS
1 year; 2 years IMG 3 attempts at each USMLE Step or COMLEX Level. (Exceptions may apply for applicants who held a Texas Physician in Training permit on or before 9/1/2005, or who have been licensed in good standing in another state for 5 years. See TMB website for more information www.tmb.state.tx.us) 7 years+ to complete the USMLE or COMLEX. (Exceptions may apply for applicants who are especially board certified or who completed combined MD/PhD programs, or who exceed the time limit but are willing to accept a limited license to practice exclusively in an MUA or HPSA. See TMB website for more information www.tmb.state.tx.us)
Utah Medical
(801) 530-6628
Requires FCVS

2 years completed 

- OR - 

1 year of training complete, with a second year in the state of Utah in progress

3 attempts at USMLE Step 3 7 years to complete USMLE; 10 years for MD/PhD candidates
Utah Osteopathic
(801) 530-6628
Requires FCVS

2 years completed

- OR -

1 year of training complete, with a second year in the state of Utah in progress

3 attempts at each COMLEX Level 7 years to complete COMLEX; 10 years for DO/PhD candidates
Vermont Medical
(802) 657-4220
Accepts FCVS
1 year; 3 years IMG 3 attempts at USMLE Step 3 7 years to complete USMLE
     
Vermont Osteopathic
(802) 828-2373
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
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 for re-examination. 1 year limitation to take the oral exam after passing written.

Virginia
(804) 662-9908 
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
Accepts FCVS
2 years 3 attempts at USMLE Step 3 7 years+ to complete USMLE
     
Washington Osteopathic
(360) 236-4945
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
West Virginia Medical
(304) 558-2921 ext. 221
Accepts FCVS
1 year; 3 years IMG Six (6) attempts per USMLE Step or Step component 10 years to complete USMLE
West Virginia Osteopathic
(304) 723-4638
Accepts FCVS
1 year No limit on COMLEX No limit on COMLEX
Wisconsin
(608) 266-2112
Accepts FCVS
2 years 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
Requires FCVS 
 
2 years (1 year if applicant has current certification by an ABMS or AOABOS/BOC specialty board, or continuous licensure in good standing in one or more states and/or D.C. for the preceding 5 years.) 7 total attempts on USMLE or COMLEX in seven years 7 years (8 years if in combined DO or MD/PhD program)