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State-Specific Requirements for Initial Medical Licensure

  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 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
Minimum Postgraduate Training Required
  • 1 year ACGME training for US grads
  • 3 years ACGME training for IMG’s
Time Limit for Completing Licensing Examination Sequence
  • 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)
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 2 attempts per USMLE Step
  • 2 attempts per COMLEX Level
Minimum Postgraduate Training Required
  • 2 years
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • 10 years for MD/PhD candidates
  • 7 years to complete COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on USMLE
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE if initial licensure
  • No limit if already licensed
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts per USMLE Step
  • 3 attempts per COMLEX Level
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG unless currently enrolled in training program through University of Arkansas for Medical Sciences.
Time Limit for Completing Licensing Examination Sequence
  • No limit on USMLE or COMLEX
  • check Limited acceptance of FCVS
Number of attempts at Licensing Exam
  • 4 attempts at USMLE Step 3
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • Passing scores on a written/computerized exam shall be valid for a period of 10 years from the month of the examination
  • check Limited Acceptance of FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on USMLE
  • No information available on COMLEX
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years from first sitting to complete USMLE or COMLEX
  • 10 years for MD/PhD or DO/PhD candidates
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on USMLE
  •  No limit on COMLEX
Minimum Postgraduate Training Required
  • 2 years
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No more than 6 attempts to pass each step
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts at USMLE Step 3; After which one additional year of postgraduate training is required.
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE; No limit on COMLEX
  • check Highly recommends FCVS
Number of attempts at Licensing Exam
  • No limit on USMLE
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • No limit on USMLE
  • check Highly recommends FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year in an AOA-approved program
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts per USMLE Step
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
  • 1 year if IMG is on list
  • 3 years IMG if not on list
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • 9 years to complete USMLE if in MD/PhD program
  • No limit on COMLEX
Number of attempts at Licensing Exam
  • No information at this time
Minimum Postgraduate Training Required
  • No information at this time
Time Limit for Completing Licensing Examination Sequence
  • No information at this time
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on USMLE or COMLEX
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • No limit on USMLE or COMLEX
  • check Accepts FCVS
  • check Requires Uniform Application
Number of attempts at Licensing Exam
  • Failure to pass USMLE after 2 attempts may lead to Board interview or evaluation
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG (can be licensed after 2 years if in good standing with Idaho residency training program, and has signed an agreement to complete residency in Idaho)
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE: 10 years for MD/PhD candidates
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 5 attempts at all USMLE Steps combined
  • 5 attempts at COMLEX Levels combined
Minimum Postgraduate Training Required
  • 24 months of training
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts per USMLE Step
  • 5 attempts per COMLEX Level
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 10 years to complete USMLE
  • 7 years to complete COMLEX
  • check Accepts FCVS
  • check Utilizes Uniform Application
Number of attempts at Licensing Exam
  • 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
  • 3 years of approved postgraduate training required if outside the attempt limit.
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 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.
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3+ attempts at USMLE Step 3 or COMLEX Level 3
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG (minimum 2 years in an ACGME approved program)
Time Limit for Completing Licensing Examination Sequence
  • 10 years to complete USMLE or COMLEX
  • check Requires FCVS
Number of attempts at Licensing Exam
  • 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
Minimum Postgraduate Training Required
  • 2 years
Time Limit for Completing Licensing Examination Sequence
  • No limit on USMLE or COMLEX
  • check Requires FCVS
Number of attempts at Licensing Exam
  • No limit at USMLE Step 1 or COMLEX Level 1
  • 4 attempts each at USMLE Steps 2 and 3 or COMLEX Levels 2 and 3
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 10 years to complete USMLE or COMLEX
  • check Requires FCVS
Number of attempts at Licensing Exam
  • 3 attempts at USMLE Step 3. More than 3 attempts requires a request for a waiver.
Minimum Postgraduate Training Required
  • US/Canadian medical school graduates who graduated after July 1, 2004 must complete 3 years of ACGME accredited postgraduate training. (Those who graduated before July 1, 2004 are only required to complete 2 years of ACGME accredited PGT.) IMGs 3 years of ACGME accredited.  
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete exam sequence (NBME, USMLE, and FLEX) More than 7 years requires a waiver.
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year in AOA approved program
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • Unlimited attempts at each USMLE Step or COMLEX Level
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 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))
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts at USMLE Step 3 or COMLEX (See Board Regulations 243 CMR 2.02 (3)(b).)
Minimum Postgraduate Training Required
  • 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.
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE or COMLEX. May request a waiver under specific conditions. (See Board Regulations 243 CMR 2.02 (3)(c)(2).)
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts at each USMLE Step
Minimum Postgraduate Training Required
  • 2 years
Time Limit for Completing Licensing Examination Sequence
  • 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 attempts at Step 3. 
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year in AOA approved program
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 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 3 levels of COMLEX must be passed within 6 attempts.
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • USMLE Step 3 must be passed within 5 years of Step 2 or before the end of residency training.
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts at each Step
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
  • 1-3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts at USMLE Step 3
  • 3 attempts on COMLEX
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE (waived for MD/PhD candidates)
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts at USMLE Step 3
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 2 years
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE (exceptions possible for MD/PhD candidates)
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 4 attempts+ at each USMLE Step
  • 4 attempts+ at each COMLEX Level
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 10 years to complete USMLE or COMLEX beginning with date first Step/Level is passed.
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 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
Minimum Postgraduate Training Required
  • 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 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 60 days after the scheduled completion of the program.
Time Limit for Completing Licensing Examination Sequence
  • 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.
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 3 years for full license OR 2 years if resident signs commitment to practice in NV
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Requires FCVS
Number of attempts at Licensing Exam
  • 3 attempts at each USMLE Step or COMLEX Level
Minimum Postgraduate Training Required
  • 2 years
Time Limit for Completing Licensing Examination Sequence
  • No limit on USMLE or COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 5 attempts at USMLE Step 3
  • No information available on COMLEX
Minimum Postgraduate Training Required
  • US and IMG graduates who graduated after July 1, 2003 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 July 1, 2003: 1 year; 3 years IMG.
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • No information available on COMLEX
  • check Highly recommends FCVS
Number of attempts at Licensing Exam
  • 6 attempts per USMLE Step
Minimum Postgraduate Training Required
  • 2 years
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • 10 years for MD/PhD candidates
  • check Highly recommends FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS for domestic graduates
  • check IMGs-FCVS required
Number of attempts at Licensing Exam
  • No limit on USMLE or COMLEX
Minimum Postgraduate Training Required
  • Domestic 1 year
  • IMG 3 years 
Time Limit for Completing Licensing Examination Sequence
  • No limit on USMLE or COMLEX
  • check Doesn’t require FCVS unless previously established a profile
Number of attempts at Licensing Exam
  • 3 attempts per USMLE Step
  • 3 attempts per COMLEX Level
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • No time limit for passing all 3 steps
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts at each USMLE Step or COMLEX Level
Minimum Postgraduate Training Required
  • 1 year
  • 30 months IMG of ACGME accredited training
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE or COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No information available at this time
Minimum Postgraduate Training Required
  • No information available at this time
Time Limit for Completing Licensing Examination Sequence
  • No information available at this time
  • check Requires FCVS
Number of attempts at Licensing Exam
  • 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. 
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 10 years to complete USMLE or COMLEX (possible waiver good cause if over 10 years)
  • check Accept FCVS
Number of attempts at Licensing Exam
  • 3 attempts at each USMLE Step (Step 2 = CK & CS)
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 10 years to complete USMLE
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 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.
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE or COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on USMLE
Minimum Postgraduate Training Required
  • 2 years
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on USMLE
Minimum Postgraduate Training Required
  • 1 year
Time Limit for Completing Licensing Examination Sequence
  • USMLE Step 3 shall be passed within 7 years of the date of passing Step 1.
  • check Requires FCVS
Number of attempts at Licensing Exam
  • 3 attempts at each USMLE Step
  • 3 attempts at each COMLEX Level
Minimum Postgraduate Training Required
  • 2 years
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • No information available on COMLEX
Number of attempts at Licensing Exam
  • No information available at this time
Minimum Postgraduate Training Required
  • No information available at this time 
Time Limit for Completing Licensing Examination Sequence
  • No information available at this time
  • check Requires FCVS
Number of attempts at Licensing Exam
  • 4 attempts per USMLE Step and COMLEX Level
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 10 years to complete USMLE or COMLEX
  • check Highly recommends FCVS for International Medical Graduates only
Number of attempts at Licensing Exam
  • Allowed 3 attempts, must pass on third, for the USMLE or COMLEX examination
Minimum Postgraduate Training Required
  • Successful completion of residency program
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE or COMLEX
  • 10 years for Dual Program Degree MD-PhD Applicant
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on USMLE
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 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 September 1, 2005 or who have been licensed in good standing in another state for 5 years. See TMB website for more information.)
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 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.)
  • check Requires FCVS
Number of attempts at Licensing Exam
  • 3 attempts at USMLE Step 3
Minimum Postgraduate Training Required
  • 2 years completed - OR - 1 year of training complete, with a second year in the state of Utah in progress
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • 10 years for MD/PhD candidates
  • check Requires FCVS
Number of attempts at Licensing Exam
  • 3 attempts at each COMLEX Level
Minimum Postgraduate Training Required
  • 2 years completed OR 1 year of training complete, with a second year in the state of Utah in progress
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete COMLEX
  • 10 years for DO/PhD candidates
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts at USMLE Step 3
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 7 years to complete USMLE
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No information available at this time
Minimum Postgraduate Training Required
  • 1 year rotating internship or 3 year residency program
Time Limit for Completing Licensing Examination Sequence
  • No information available at this time
  • check Requires FCVS
Number of attempts at Licensing Exam
  • Must take SPEX (only given in May and November) and an oral exam. 2 attempts
Minimum Postgraduate Training Required
  • 6 months required after 2 attempts for SPEX exam
Time Limit for Completing Licensing Examination Sequence
  • 3 years to pass the 2 attempts allowed for re-examination. 1 year limitation to take the oral exam after passing written.
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on USMLE
Minimum Postgraduate Training Required
  • 1 year
  • 2 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 10 years to complete USMLE; Greater than 10 years if candidate is ABMS certified.
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3 attempts at USMLE Step 3
Minimum Postgraduate Training Required
  • 2 years
Time Limit for Completing Licensing Examination Sequence
  • 7 years+ to complete USMLE
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 6 attempts per USMLE Step or Step component
Minimum Postgraduate Training Required
  • 1 year
  • 3 years IMG
Time Limit for Completing Licensing Examination Sequence
  • 10 years to complete USMLE
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • No limit on COMLEX
Minimum Postgraduate Training Required
  • 1 year
Time Limit for Completing Licensing Examination Sequence
  • No limit on COMLEX
  • check Accepts FCVS
Number of attempts at Licensing Exam
  • 3+ attempts per USMLE Step
  • N/A on COMLEX
Minimum Postgraduate Training Required
  • 2 years
Time Limit for Completing Licensing Examination Sequence
  • USMLE Step 3 shall be passed within 10 years of the date of passing Step 1
  • N/A on COMLEX
  • check Requires FCVS
Number of attempts at Licensing Exam
  • 7 total attempts on USMLE or COMLEX in 7 years
Minimum Postgraduate Training Required
  • 2 years (1 year if applicant has current certification by an ABMS or AOABOS/BOC specialty board, or continuous licensure in good standing in 1 or more states and/or D.C. for the preceding 5 years.)
Time Limit for Completing Licensing Examination Sequence
  • 7 years (8 years if in combined DO or MD/PhD program)
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