Physician - Licensure by Examination 

    THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Licensure Methods and Definitions
    .   Elder and Child Abuse Reporting Notice
    .   Reference Sheet
    .   App Transmittal - Physician
    .   CT - Certification of Licensure - EXAM
    .   AF - MED
    .   ED - NON
    .   TN - MED - EXAM
    .   Controlled Substance Application
    .   2008 Step 3 United States Medical Licensing Examination (USMLE) Application

 

Physician - Licensure by Endorsement

    THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Licensure Methods and Definitions
    .   Child and Elder Abuse Reporting Notice
    .   Application for Licensure and/or Examination
    .   CT Certification of Licensure
    .   ED-NON Certification of Education NON-LCME Accredited Medical College
    .   TN-MED Certification of Graduate Clinical Training
    .   AF-MED Certification of Affiliation
    .   Controlled Substance Instructions and Applications

Physician - Licensure by Acceptance of Examination

    THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Licensure Methods and Definitions
    .   Child and Elder Abuse Reporting Notice
    .   Application Jacket
    .   CT Certification of Licensure
    .   ED-NON Certification of Education NON-LCME Accredited Medical College
    .   TN-MED Certification of Graduate Clinical Training
    .   AF-MED Certification of Affiliation
    .   Controlled Substance Instructions and Application

Physician - Temporary Licensure 

    THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Licensure Methods and Definitions
    .   Child and Elder Abuse Reporting Notice
    .   Reference Sheet
    .   Application Jacket
    .   CT Certification of Licensure
    .   ED-MED Certification of Education
    .   ED-NON Certification of Education NON-LCME Accredited Medical College
    .   AF-MED Certification of Affiliation
    .   CA-MED Certificate of Acceptance for Specialty/Residency Program

Physician - Visiting Physician Permit 

    THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Licensure Methods and Definitions
    .   Child and Elder Abuse Reporting Notice
    .   Application Jacket
    .   CT Certification of Licensure
    .   MD-VPH Certification of Invitation/Appointment of Visiting Physician Permit

Physician - Visiting Professor Permit 

    THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Licensure Methods and Definitions
    .   Child and Elder Abuse Reporting Notice
    .   Application Jacket
    .   CT Certification of Licensure
    .   VE-PRO Verification of Professor Status
    .   MD-VPR Certification of Contractual Agreement for Visiting Professor

Physician - Visiting Resident Permit 

    THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Licensure Methods and Definitions
    .   Child and Elder Abuse Reporting Notice
    .   Application Jacket
    .   CA-VRP Certification of Acceptance for a Visiting Resident Permit
    .   CE-PTP Certificate of Enrollment in an Out-of-State Postgraduate Training Program
    .   CT Certification by Licensing Agency/Board

Physician - Limited Temporary Licensure

    THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Licensure Methods and Definitions
    .   Child and Elder Abuse Reporting Notice
    .   Reference Sheet
    .   Application Jacket
    .   CT Certification of Licensure
    .   ED-MED Certification of Education
    .   ED-NON Certification of Education/Non-LCME Accredited Medical College
    .   AF-MED Certification of Affiliation
    .   CA-MED Certification of Acceptance for Specialty/Residency Program
    .   CA-LTD Certification of Acceptance for a Limited Specialty/Residency Program

Physician - Transfer of Temporary License

    THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Licensure Methods and Definitions
    .   Child and Elder Abuse Reporting Notice
    .   Reference Sheet
    .   Application Jacket
    .   CA-MED Certification of Acceptance for Specialty/Residency Program

Physician - Extention of Temporary License

    THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Licensure Methods and Definitions
    .   Child and Elder Abuse Reporting Notice
    .   Reference Sheet
    .   Application Jacket
    .   CA-MED Certification of Acceptance for Specialty/Residency Program

Physician - Controlled Substance          

   THIS PACKET INCLUDES:
    .   Instruction Sheet
    .   Application for State Controlled substances Registration