A licensee who has ever held a full license in Massachusetts that was not renewed must complete a lapsed application to revive their license.

Please read the instructions carefully before completing your application.

Remember: If your license lapses, YOU MAY NOT PRACTICE MEDICINE IN MASSACHUSETTS IN ANY FASHION OR CAPACITY UNTIL YOUR LICENSE IS REVIVED BY THE BOARD.

Applicants should download the Lapsed License Application Kit—it contains all the necessary documents.

Lapsed License Application Kit pdf format of Lapsed Application Kit  file size 1MB

The application kit is a PDF file (Adobe Portable Document Format).  You must have the Adobe Acrobat Reader Plugin for your browser in order to download and use these forms.  Acrobat Reader is a free download from Adobe.  It can be obtained by clicking on this link. First download the reader, then run the installation program to add the plugin to your browser.

Lapsed License Application Documents

The application documents are also available in Word format. IF YOU CHOOSE NOT TO DOWNLOAD THE KIT, THEN YOU MUST DOWNLOAD AND SUBMIT ALL THE DOCUMENTS BELOW.


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