(Not Renewal)

This is only for initial full licensure...not for renewal of a full license.

Applicants should download or print the Application Kit—it contains all the necessary documents.

Please read the instructions carefully before completing your application.

Application Kit for Initial Full License

The application kit is an Adobe PDF (Portable Document Format).  You must have the Adobe Acrobat Reader Plugin for your browser in order to download or print the documents. Download the free Adobe Reader, then run the installation program to add the plugin to your browser.

Application Documents

The application documents are also available in Word format.  IF YOU CHOOSE NOT TO USE THE KIT, THEN YOU MUST DOWNLOAD OR PRINT ALL THE DOCUMENTS BELOW.  ALL FORMS MUST BE SUBMITTED.


This information is provided by the Board of Registration in Medicine.