Licensing Process
ALERT-POTENTIAL LICENSE DENIAL OR SUSPENSION FOR FAILURE TO PAY TAXES
- U.S./Canadian Medical School Graduate Application - Fill-In
- International Medical School Graduate Application - Fill-In
- Postgraduate Training Authorization Letter (PTAL) Application - Fill-In
- Previously Licensed California Physician Application- Fill-In
- Limited Practice License Application- Fill-In
(Applicant must also printout either the US/Canadian Medical School Graduate Application or the International Medical School Graduate Application)
Addendums and Other Forms
- Explanation to Application Question #____
- Addendum to Question #15
- Addendum to Question #23
- Addendum to Question #33
- Timeline of Activities
- Applicant Address Change Request
- Birth Month Licensure Request
- Translation of International Academic Credentials
- California ACGME Approved Postgraduate Training Program: Postgraduate Training Registration Form - Fill-In
Individual Application Forms
- Application, Forms L1A-L1F
- Certificate of Medical Education, Form L2
- Certificate of Completion of ACGME/RCPSC Postgraduate Training, Form L3A-L3B
- Current Postgraduate Training Enrollment, Form L4
- Certificate of Clinical Training, Form L5
- Certificate of Individual Clinical Clerkship Training, Form L6
- Live Scan Form
- Live Scan Locations
- Examination Scores
- Federation Credentials Verification Service Application
- Convictions - How it Might Affect a License / PTAL Application
Attention: Osteopathic Physicians and Surgeons
Do not complete this application packet if you are applying for licensure as an osteopathic physician and surgeon. Please contact the Osteopathic Medical Board of California at (916) 928-8390 for an application and further information.
