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"Professional Medical Licensure in all 50 States"  
State # of Years PGT

DMG / FMG

 

ABMS/10 year rule/ Spex? Step 3 USMLE Attempts / Years Difficulty

Ranking

 

Alabama Medical License 1 / 3 Yes 3 / 7 37
Alaska Medical License 2 / 3 No 2 attempts per step / 7 or 10 (MD/PhD) 23
Arkansas Medical License 1 / 3 No 6 attempts per step  / 7 or 10 (MD/PhD) 1
Arizona Medical License 1 / 3 Yes

If Board Certified then you are Exempt

none / 7 29
California Medical License  1 / 2 Yes  4/ 10 39
Colorado Medical License 1 / 3 No none / 7 or 10 (MD/PhD) 22
Connecticut Medical License 2 / 2 No none / 7 45
Delaware Medical License 1 / 3 No 6 / 7 + 46
D.C. Medical License 1 / 3 No 3+/ 7 13
Florida Medical License 1 / 2 No none / none 8
Georgia Medical License 1 / 3 No 3 / 7 or 9 (MD/PhD) 42
Hawaii Medical License 1 / 2 No none / 7 41
Idaho Medical License 1 / 3 No 2 / 7 or 10 (MD/PhD) 14
Illinois Medical License  1 (<1988 

2 (>1987)

(Both DMG & FMG)

 

No * / 7

*5 Attempts allowed on all Steps Combined - Total

40
Indiana Medical License 1 / 2 No 3 / 10 44
Iowa Medical License 1 / 2 No 3 /7 or 10 (MD/PhD)

*3 years of approved PGT required if outside attempt limits

43
Kansas Medical License 1 / 3* No 3 / 10 34
Kentucky Medical License 2 / 2 No 4 / none 9
Louisiana Medical License 1 / 3 Yes 4 / none 5
Maine Medical License 2 or 3 / 3 No 3 / 7 35
Maryland Medical License 1 / 2 Yes* 4 / 10 20
Massachusetts Medical License 1 / 2 No 6 / 7 6
Michigan Medical License 2 / 2 No none/none (5 yrs to pass step 3) 50
Minnesota Medical License 1 / 2 Yes 3 or 4* / (step 3 must be passed within 5 years of step 2 or before end of residency training) 10
Mississippi 1 / 3 Yes

If you are Board Certified then you are exempt

3 / 7 4
Missouri 1 / 3 No 3 / 7 47
Montana 2 / 3 No 3 / 7 22
Nebraska 1 / 3 No 4 / 10 33
Nevada 3 / 3 YES 9 total attempts / 7 or 10 (MD/PhD) 2
New Hampshire 2 / 2 No 3 / none 36
New Jersey Medical License 1or2-3/ 2-3 No 5 / 7 11
New Mexico Medical License 2 / 2 No 6 / 7 or 10 (MD/Phd) 31
New York Medical License 1 / 3 No none / none 32
North Carolina Medical License 1 / 3 Yes

AMA Physician Recognition Award Exemption

6 / 7 or 10 (ABMS) 12
North Dakota 1 / 3 No 3 / 7 16
Ohio 1 / 2 No 4/10 30
Oklahoma 1 / 2 No 3 /10 38
Oregon 1 / 3 Yes 3 / 7* 28
Pennsylvania 2 / 3 No none/none 19
Puerto Rico 1 / 3 No none / 7 7
Rhode Island Medical License 2 / 3 No 3 / 7 21
South Carolina Medical License 1 / 3 Yes 4 / 10 48
South Dakota Complete a Residency No 3 / 7 17
Tennessee Medical License 1 / 3 No none / 7 18
Texas Medical License 1 / 3 Yes 3 / 7 or 10 (ABMS) 3
Utah 2 / 2 No 3 / 7 or 10 (MD/PhD) 40
Vermont 1 / 3 No 3 / 7 15
Virginia Medical License 1 / 2 No none / 10+ * 49
Virgin Islands 1 / 2 No Spex Required 13
Washington 2 / 2 No 3 / 7 + 25
West Virginia 1 / 3 No 3 / 10 26
Wisconsin 1 / 1 No 3 +/ 10 24
Wyoming 1 / 2 No 7/7 27
West Virginia 1 / 3 No 3 / 10
Wisconsin 1 / 1 No 3 +/ 10
Wyoming 1 / 2 No none / none
* Michigan is the ONLY State which offers Reciprocity to other States. (except to Puerto Rico)

Updated  06/18/08

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D.O. (Osteopathic State Licensing  Requirements)
State # of Years AOA PGT

 

Required AOA Internship
Arizona Osteopathic Board 1 Yes
California Osteopathic Board 1 Yes
Florida Osteopathic Board 1 Yes
Maine Osteopathic Board 1 Yes
Michigan Osteopathic Board 1 Yes
Nevada Osteopathic Board 3 yr full license   OR Yes
2 yr if resident w/contract in NV
New Mexico Osteopathic Board 1 Yes
Oklahoma Osteopathic Board 1 Yes
Pennsylvania Osteopathic Board 1 Yes
Tennessee Osteopathic Board 1 Yes
Utah Osteopathic Board 2 Yes
Vermont Osteopathic Board 1 yr - Rotating Internship  OR See notes
3 yr -  Residency Progr.
Washington Osteopathic Board 1 Yes
West Virginia Osteopathic Board 1 Yes

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