State Medical Board Licensure Requirements 

State Medical Board

PGT for Domestic Grads

PGT for International Grads

ABMS/SPEX/10 Year Rule

Step 3 USMLE Attempts

USMLE 7 Year

Alabama Medical License

1 year

3 years

Yes

3 (10 total attempts)

7

Alaska Medical License

2 year

3 years

No

2 attempts per step

7 or 10 (MD/PhD)

Arkansas Medical License

1 year

3 years

No

3 attempts per step

7 or 10 (MD/PhD)

Arizona Medical License

1 year

3 years

Yes
Exempt if Board Certified

none

7 if first license
None if licensed

California Medical License

1 year

2 years

Yes
Exempt if NBME or ABMS

4

10

Colorado Medical License

1 year

3 years

No

none

7 or 10 (MD/PhD)

Connecticut Medical License

2 years

2 years

No

none

7

Delaware Medical License

1 year

3 years

No

6

7+

D.C. Medical License

1 year

3 years

No

3 +

7

Florida Medical License

1 year

2 years

No

none

none

Georgia Medical License

1 year

1 or 3 years. 1 year if Med. Sch. approved by California. 3 years if Med. Sch. not approved by California.

No

3

7 or 9 (Md/PhD)

Hawaii Medical License

1 year

2 years

No

none

7

Idaho Medical License

1 year

3 years

No

2 per step

7 or 10 (MD/PhD)

Illinois Medical License

1 year before 1988
2 years after 1987

1 year before 1988
2 years after 1987

No

5 attempts allowed on all steps combined - total

7

Indiana Medical License

1 year

2 years

No

3 per step

10

Iowa Medical License

1 year

2 years

No

6-step 1&2
3-step 3
*3 yrs of approved PGT required if outside of attempt limits

10
If Board Certified then None

Kansas Medical License

1 year

3 years

No

3+

10

Kentucky Medical License

2 years

2 years

No

4 per step

none

Louisiana Medical License

1 year

3 years

Yes

4-step 2 & 3

10

Maine Medical License

1 year if graduated by 07/04
2 years if after 07/04

3 years

No

3
*Waiver required if more than 3

7

Maryland Medical License

1 year

2 years

Yes
Exempt if Board Certified

4

10

Massachusetts Medical License

1 year

2 years

No

6

7+

Michigan Medical License

2 year

2 years

No

none

None - 5 years to pass Step 3

Minnesota Medical License

1 year

2 years

Yes

3 (if not licensed)
4 (if licensed and board certified)

  Step 3 must be passed within 5 years of Step 2 or before the end of the residency training

Mississippi Medical License

1 year

1 to 3 years

Yes

3

7

Missouri Medical License

1 year

3 years

No

3

7

Montana Medical License

2 years

3 years

No

3

7

Nebraska Medical License

1 years

3 years

No

4 (each step)

10

Nevada Medical License

3 years

3 years

Yes
Exempt if Board Certified

9 total attempts for all steps combined
Step 3 in 3 attempts

7 or 10 (MD/PhD)

New Hampshire Medical License

2 years

2 years

No

3

none

New Jersey Medical License

1 year if before 07/03
3 years if after 07/03

3 years

No

5

7

New Mexico Medical License

2 years

2 years

No

6

7 or 10 (MD/PhD)

New York Medical License

1 year

3 years

No

none

none

North Carolina Medical License

1 year

3 years

Yes
Exempt-150 CME Hrs 3yrs

3 attempts per step

7 or 10 (MD/PhD)

North Dakota Medical License

1 year

3 years

No

3 attempts per step

7

Ohio Medical License

1 year

2 years

No

5 attempts per step

10

Oklahoma Medical License

1 year

2 years

No

3 attempts per step

10

Oregon Medical License

1 year

3 years

Yes
Waiver if ABMS and 150 CME Hrs in 3 years

3 or 4 w/Board Certification

7

Pennsylvania Medical License

2 years

3 years

No

none

none

Puerto Rico Medical License

1 year

1 year

No

none

7

Rhode Island Medical License

2 years

3 years

No

3 attempts per step

7

South Carolina Medical License

1 year

3 years

Yes
Waiver if 150 cme hrs 3 yrs

4 attempts per step

10

South Dakota Medical License

Complete a Residency

Complete a Residency

No

3

7

Tennessee Medical License

1 year

3 years

No

3

7 (waived if licensed in 3 States)

Texas Medical License

1 year

3 years

Yes

3 attempts per step

7

Utah Medical License

2 years

2 years

No

3

7 or 10 (MD/PhD)

Vermont Medical License

1 year

3 years

No

3

7

Virginia Medical License

1 year

2 years

No

none

10+

Virgin Islands Medical License

1 year

2 years

No

SPEX Required

SPEX

Washington Medical License

2 years

2 years

No

3

7+

West Virginia Medical License

1 year

3 years

No

3

10

Wisconsin Medical License

1 year

1 year

No

3+

10

Wyoming Medical License

1 year

1 year

No

7 total USMLE attempts

7

Osteopathic Medical Board Requirements

Arizona Osteopathic Medical License

1 year AOA/AMA PGT

AOA or AMA PGT Required

California Osteopathic Medical License

1 year AOA PGT

AOA PGT Required

Florida Osteopathic Medical License

1 year AOA PGT

AOA PGT Required

Maine Osteopathic Medical License

1 year AOA PGT

AOA PGT Required

Nevada Osteopathic Medical License

3 years for a full license, 2 years if a Resident w/contract in NV

(see notes)

New Mexico Osteopathic Medical License

1 year AOA PGT

AOA PGT Required

Oklahoma Osteopathic Medical License

1 year AOA PGT

AOA PGT Required

Pennsylvania Osteopathic Medical License

1 year AOA PGT

AOA PGT Required

Tennessee Osteopathic Medical License

1 year AOA PGT

AOA PGT Required

Utah Osteopathic Medical License

2 years of PGT

AOA PGT Required

Vermont Osteopathic Medical License

1 year AOA PGT or 3years of ACGME PGT

AOA PGT Required

Washington Osteopathic Medical License

1 year AOA PGT

AOA PGT Required

West Virginia Osteopathic Medical License

1 year AOA PGT

AOA PGT Required