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State Medical Requirements

State Medical License Requirements

State Board
USMLE Attempt Limit
Time Limit
US/Canadian Postgraduate Training Requirements
Foreign Postgraduate Training Requirements
SPEX Exam Required?
10 Year Rule
AlabamaNo attempt limit on step I or II, Three (3) attempts on step IIIMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years for MD/PhDOne YearThree YearsYES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 yearslists_page_icon_3
AlaskaTwo (2) attempts per stepMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepTwo years, one year if completed before 01/01/95Three yearsNOlists_page_icon_3
ArizonaNo attempt limitMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step, unless 1st licensed by a state that doesn’t have a 7 year limitOne yearThree yearsNOlists_page_icon_3
Arizona DON/ANo limits on NBOMEOne yearN/AYES; unless lifetime certified, board certified or re-certified by a specialty or sub-specialty in the last 7 yearslists_page_icon_3
ArkansasSix (6) attempts per stepMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepOne yearThree years, One year if enrolled at U of ArkansasNOlists_page_icon_3
California No attempt limit on steps I and II, Four (4) attempts on step IIIMust complete USMLE Steps I, II, and III within ten (10) years of passing the first stepOne year, including 4 mos. General Med.Two years, including 4 mos. General Med.NOlists_page_icon_3
California DON/ANo limits on NBOMEOne yearN/ANOlists_page_icon_3
ColoradoNo attempt limitMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhDOne yearThree yearsNOlists_page_icon_3
ConnecticutNo attempt limitMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepTwo yearsTwo yearsNOlists_page_icon_3
DelawareNo attempt limitNo time limitOne yearThree yearsNOlists_page_icon_3
District of ColumbiaNo attempt limit per steps I and II. Additional year of PGT required if four (4)failed attempts on step III.Must complete USMLE Steps I, II, and III within seven (7) years of passing the first stepOne yearThree yearsNOlists_page_icon_3
FloridaNo attempt limitNo time limitOne yearTwo yearsNOlists_page_icon_3
Florida DON/ANo limits on NBOMEOne yearN/ANOlists_page_icon_3
GeorgiaNo attempt limit on steps I and II, Three (3) attempts on step IIIMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Nine (9) if MD/PhDOne yearThree yearsNOlists_page_icon_3
HawaiiNo attempt limitMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) if MD/PhDOne yearTwo yearsNOlists_page_icon_3
Hawaii DON/ANo limits on NBOMEOne yearN/ANOlists_page_icon_3
IdahoTwo (2) attempts per stepMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhDOne yearThree yearsNOlists_page_icon_3
IllinoisNo more than five (5) failed attemptsMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepTwo years, One year if completed before 1988Two years, One year if completed before 1988NOlists_page_icon_3
IndianaThree (3) attempts per stepMust complete USMLE Steps I, II, and III within seven (10) years of passing the first stepOne yearTwo yearsNOlists_page_icon_3
IowaSix (6) attempts per steps I and II. Three (3) attempts on step III.Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years for MD/PhDOne yearTwo yearsNOlists_page_icon_3
KansasNo attempt limit on steps I and II, Three (3) attempts on step IIIMust complete USMLE Steps 1, 2, and 3 within ten (10) years of passing the first stepOne yearTwo yearsNOlists_page_icon_3
KentuckyFour (4) attempts per stepNo time limitTwo yearsTwo yearsNOlists_page_icon_3
LouisianaNo attempt limit on step I. Four (4) attempts per steps II and III.Must complete USMLE Steps 1, 2, and 3 within ten (10) years of passing the first stepOne yearThree yearsNOlists_page_icon_3
MaineNo attempt limit per steps I and II. Three (3) attempts on step IIIMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepTwo years; Three years if graduated after 7/2004Three yearsNOlists_page_icon_3
Maine DON/AtNo limits on NBOMEOne yearN/ANOlists_page_icon_3
MarylandThree (3) attempts per step.Must complete USMLE Steps 1, 2, and 3 within ten (10) years of passing the first stepOne year; Two if any USMLEstep failed 3 timesTwo yearsYES; unless lifetime certified, board certified, or re-certified by a specialty or sub-specialty in the last 10 years, or passed a licensing exam in the last 15 yearslists_page_icon_3
MassachusettsNo attempt limit per steps I and II. Six (6) attempts on step IIIMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepOne yearTwo yearsNOlists_page_icon_3
MichiganNo attempt limitNo time limit per steps I and II; Must complete step IIIwithin five (5) years of first attempt on step IIITwo yearsTwo years, three if completed before 1984NOlists_page_icon_3
MinnesotaThree (3) attempts per step; four (4) attempts step III if Board CertifiedNo time limit per steps I and II; Must complete step IIIwithin five (5) years of passing step IIOne yearTwo yearsYES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 yearslists_page_icon_3
MississippiNo attempt limit per steps I and II. Three (3) attempts on step IIIMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepOne yearThree years; One year if Board CertifiedYES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 yearslists_page_icon_3
MissouriThree (3) attempts per stepMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepOne yearThree yearsNOlists_page_icon_3
MontanaNo attempt limit per steps I and II. Three (3) attempts on step IIIMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepTwo yearsThree yearsNOlists_page_icon_3
NebraskaFour (4) attempts per stepMust complete USMLE Steps I, II, and III within ten (10) years of passing the first stepOne yearThree yearsNOlists_page_icon_3
NevadaNo attempt limit per steps I and II. Three (3) attempts on step IIIMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhDThree yearsThree yearsYES; unless lifetime certified, board certified, or re-certified by a specialty or sub-specialty in the last 10 yearslists_page_icon_3
Nevada DON/ANo limit on NBOMEThree years, one year graduated before 01/01/95N/AYES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 yearslists_page_icon_3
New HampshireThree (3) attempts per stepNo time limitTwo yearsTwo yearsNOlists_page_icon_3
New JerseyNo attempt limit per steps I and II. Five (5) attempts on step III.Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step (Waiver can be requested)Three years, one if graduated before 07/01/03Three years, one year if graduated before 07/01/85NOlists_page_icon_3
New MexicoSix (6) attempts per stepMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhDTwo yearsTwo yearsNOlists_page_icon_3
New Mexico DON/ANo limits on NBOMETwo yearsN/ANOlists_page_icon_3
New YorkNo attempt limitNo time LimitOne yearThree yearsYes, if State Board Exam was taken before 1968lists_page_icon_3
North CarolinaThree (3) attempts per stepNo Time LimitOne yearThree yearsYES; unless • Completed USMLECOMLEX or MCCQE within the past 10 years.
• Board Certification or recertification within the past 10 years by an ABMSAOACCFPFRCPFRCSspeciality board.
• Completed ACGMECFPCRCPSC or AOA approved training within the past 10 years.
• Does not have 60 hours of Category 1 (practice relevant) Continuing Medical Education within the past 3 years.
, PR award accepted
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North DakotaThree (3) attempts per stepMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepOne yearThree yearsNOlists_page_icon_3
OhioFour (4) attempts per stepMust complete USMLE Steps I, II, and III within ten (10) years of passing the first stepOne yearTwo yearsNOlists_page_icon_3
OklahomaThree (3) attempts per stepMust complete USMLE Steps I, II, and III within ten (10) years of passing the first stepOne yearTwo yearsTwo yearslists_page_icon_3
Oklahoma DON/ANo limits on NBOMEOne yearN/ANOlists_page_icon_3
OregonNo attempt limit per steps I and II. Four (4) attempts on step IIIMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhDOne yearOne year, three years if med school is non-approvedYES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years, or if state board exam was taken before 1968lists_page_icon_3
PennsylvaniaNo attempt limitNo LimitTwo years, One year if completed before 7/87Three years, One year if completed before 7/87NOlists_page_icon_3
Pennsylvania DON/ANo limits on NBOMEOne yearN/ANOlists_page_icon_3
Puerto RicoNo attempt limitMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepOne yearOne yearNOlists_page_icon_3
Rhode IslandThree (3) attempts per stepMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepTwo yearsThree yearsNOlists_page_icon_3
South CarolinaThree (3) attempts per step.Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhDOne yearThree yearsYES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years, will waive exam if 150 CME hours in last 3 yearslists_page_icon_3
South DakotaThree (3) attempts per step.Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhDCompletion of Residency ProgramCompletion of Residency Program, one year if done before 7/1987NOlists_page_icon_3
TennesseeNo attempt limitMust complete USMLE Steps I, II, and III within seven (7) years of passing the first stepOne yearThree yearsNOlists_page_icon_3
Tennessee DON/ANo limits on NBOMEOne yearN/ANOlists_page_icon_3
TexasThree (3) attempts per step. Or if you have been licensed in good standing in another state for at least 5 years, or held a Texas PIT permit on 9/1/05, then a 4th attempt allowed on one part only. Up to 6 attempts allowed on one part only, if you also: are specialty board certified by an ABMS or BOS board, and you complete, in Texas, an additional 2 years of residency trainingMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years if you are specialty board certified by an ABMS or BOS board, or have practiced under a Texas FTL for 1 year, and have been recommended for licensure by the institution at which the FTL was used. Dual degree applicants must pass all steps within 2 years after completion of required postgraduate training. The timeframe is expanded to 10 years after completion of the required postgraduate training if you graduated from a combined MD/PhD or DO/PhD program and are specialty board certified by an ABMS or BOS board, or have practiced under a Texas FTL for 1 year, and have been recommended for licensure by the institution at which the FTL was used. No time frame requirement if you have been licensed in good standing in another state for 5 years, and you accept a limited license to practice solely and indefinitely in an MUA or HPSAOne yearTwo yearsNOlists_page_icon_3
UtahThree (3) attempts per stepMust complete USMLE Steps 1, 2, and 3 within seven (7) years of passing the first step; 10 years for MD/PhDTwo yearsTwo yearsOnly for DO’s unless board certified or re-certified by a specialty or sub-specialty in the last 10 yearslists_page_icon_3
VermontNo attempt limit per steps I and II. Three (3) attempts on step IIIMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhDOne yearThree yearsNOlists_page_icon_3
Vermont DON/ANo limits on NBOMEOne yearN/ANOlists_page_icon_3
VirginiaNo attempt limitMust complete USMLE Steps I, II, and III within ten (10) years of passing the first step (exception)One yearTwo yearsNOlists_page_icon_3
Virginia DON/ANo limits on NBOMEOne yearN/ANOlists_page_icon_3
WashingtonNo attempt limit per steps I and II. Three (3) attempts on step IIIMust complete USMLE Steps I, II, and III within seven (7) years of passing the first step; ten (10) years for MD/PhDTwo years, One if graduated before 07/28/85Two years, One if graduated before 07/28/85NOlists_page_icon_3
Washington DON/ANo limits on NBOMEOne yearN/ANOlists_page_icon_3
West VirginiaThree (3) attempts per stepMust complete USMLE Steps I, II, and III within ten (10) years of passing the first stepOne yearThree years; one year if board certifiedNOlists_page_icon_3
West Virginia DON/ANo limits on NBOMEOne yearN/ANOlists_page_icon_3
WisconsinThree (3) attempts per stepMust complete USMLE Steps I, II, and III within ten (10) years of passing the first step; twelve (12) years if MD/PhDOne yearTwo yearsNOlists_page_icon_3
WyomingNo attempt limitNo Time LimitOne yearOne yearNOlists_page_icon_3

Overview of State Medical Boards

The practice of medicine is not an inherent right of an individual, but a privilege granted by the people of a state acting through their elected representatives. The primary mission of state medical boards is to protect health care consumers through proper licensing and regulation of physicians in their state. Every state and U.S. territory has a medical board. It is important to remember that the medical board has no reason to make their application process convenient for physicians. This is what makes our service so valuable, we can complete the whole process for you.

The structure – and even names – of boards vary from state to state. Some boards are independent and maintain all licensing and disciplinary powers, while others are part of a larger umbrella agency, such as a department of health.

All state medical boards belong to the FSMB, a national non-profit organization whose primary mission is to improve the quality, safety and integrity of health care by supporting state medical boards in the protection of the public.

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State medical boards are typically made up of physicians and members of the public, who are, in most cases, appointed by the governor. Board members in almost all states are paid a nominal stipend. The majority of state boards employ an administrative staff that may include an executive officer, attorneys and investigators. Legal services are often provided by the state’s office of the attorney general.

Funding for most medical boards is determined by each state’s legislature. Some boards are funded directly from physician licensing and registration fees.

In response to the 10th Amendment, each state legislature created a Medical Practice Act that defines the proper practice of medicine and the responsibility of the medical board to regulate that practice.

Each medical board uses a range of activities to carry out its responsibility, the scope of which is determined by the board’s legal authority as defined by the state’s Medical Practice Act, and by its financial resources determined by the state’s legislature. The primary means by which a medical board promotes sound medical practice and keeps consumers safe is through licensing and regulating physicians.

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