Physician

Important Reminders Before We Begin:

How To Apply:

Regarding Third-Party Primary Source Documents:

Applicants must request the following documents from third parties be released to the Board.  Please note that applicants cannot submit these documents themselves.

CLICK BELOW for Application Documents for Full, Reinstatement, Telemedicine, Administrative, IMLC, Temporary, or Provisional Licenses/Permits

To Apply for Any of These Physician Types/Statuses, CLICK BELOW:

OTHER PHYSICIAN LICENSURE INFORMATION:

For questions about your pending application for Physician Licensure, contact us on NextRequest and select the department corresponding to your last name's first alphabetic character:

Contact

Licensure Specialist Katonya Reynolds

Contact for Physician applicants (with last names A - C)

Contact

Licensure Specialist Mr. Chessley Harris

Contact for Physician applicants (with last names D - I)

Contact

Licensure Specialist Sandra Fanning

Contact for Physician applicants (with last names J - M)

Contact

Licensure Specialist Debi Bruce

Contact for Physician applicants (with last names N - R)

Contact

Licensure Specialist Chyna Sams

Contact for Physician applicants (with last names S - Z)