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Arizona Medical Board
Arizona Medical Board
Official Website of the
Arizona Medical Board
The Board's mission is to protect public health and safety.


MD License Application (Allopathic Physicians)
 
Other Arizona Licenses:
  • Postgraduate Training Permit
  • Pro Bono Registration
  • Teaching License
  • Teaching License Reapplication
  • Dispensing Application  

    Note: You only need to register if you are dispensing medications (other than samples) from your office. "Dispensing" means keeping a supply of drugs and devices at your office and filling the prescription at your office--in effect, running a pharmacy within your practice. If you only write prescriptions for patients to fill elsewhere, you do NOT need to register.

  • Locum Tenens Application
  • Please Note:
    In accordance with A.A.C. R4-16-203(B), requirements for Locum Tenens applications include the submission of certified copies (NOT NOTARIZED) of the following:

    1. Certified copy of the medical degree diploma (not notarized). An example of a certified copy of the diploma could include, but is not limited to, a statement from the medical school’s custodian of record that they certify the copy of the diploma is true copy of the original. An embossed or colored seal may also be affixed to the diploma for authenticity.

    2. Certified copy of ECFMG certificate (not notarized).

    3. Certified copy of Postgraduate training certificates (not notarized). Please note a copy of the certificate is needed, with an accompanying letter from the program that they certify they are providing a true copy of the original certificate.

    Arizona Medical Board recommends the applicant obtain the required items for the application process, prior to paying the application fee. If required documentation is not submitted within 30 days of the application deficiency notice the application will be withdrawn. (A.A.C. R4-16-207, Table 1 time-frames) The application fee is non-refundable.

Fingerprint Requirements

Beginning on September 2, 2014, all initial and renewal applicants are required to undergo a criminal background check according to A.R.S. § 32-1422(12) and A.R.S. § 32-1430(E). All initial and renewal applicants will receive a packet from the Board that will detail the steps the applicant must take to comply with the fingerprint process. Please note that the fingerprint card is specific and pre-printed for this Board; therefore, the applicant must use the fingerprint card provided by the Board or fingerprint card FD-258 to include the same pre-printed information within each blue box. Fingerprinting can be done at a local police department, sheriff’s office, or an entity that provides fingerprinting services. The applicant should call the entity that provides the fingerprinting service to confirm their availability and payment requirements. The applicant is required to return the fingerprint card along with a check or money order for $50.00 made out to “Arizona Medical Board” together in the return envelope. The fingerprint technician is required to fill out and date the identity verification form, place the identity verification form with the fingerprint card, seal and sign the envelope flap before returning the fingerprint card to the applicant. If applicant forgets to place the check or money order with the fingerprint card, do not reopen the sealed envelope. The applicant can include the check or money order in a separate envelope attached to the return fingerprint card envelope. Failure to return the sealed envelope with the fingerprint technician’s signature across the envelope flap, the fingerprint card, and identity verification form along with the check or money order will result in the delay in the process of your application.

Effective September 2, 2014, fingerprinting / background check will be required for 5 of 9 MD application types:

Application TypeFingerprinting Required?
MD Initial ApplicationYes
MD Endorsement ApplicationYes
MD Locum Tenens ApplicationYes
MD Initial or Endorsement RenewalYes
MD MD Teaching LicenseYes
Pro BonoNo
MD Dispensing RegistrationNo
MD Training Permit (PGT)No
MD Education PermitNo
 
Training Unit
Completion of the training unit is required for application types: Initial License, Endorsement License, License Renewal, Locum Tenens Registrations and Teaching Licenses.
 
Citizenship Statement
This form is to be completed by the applicant and is to be submitted for every application, permit or registration that is offered by the Arizona Medical Board, with the exception of the renewal of license if citizenship has previously been established with the Board.
Evidence List- as referenced for the full MD license application
As a requirement for licensure in Arizona, United States citizens must provide a certified copy of their birth certificate or certified copy of their passport in accordance with A.A.C. R4-16-201(C)(1). Non-citizens must provide proof of immigration status in accordance with A.R.S. § 41-1080 (see Evidence List) in addition to a certified copy of their birth certificate or passport, A.A.C. R4-16-201(C)(1).

Evidence List- as referenced for miscellaneous license application types
 
Basic Requirements for Medical Graduates

Initial Licensure Requirements

Licensure by Endorsement Requirements

Additional Requirements for Foreign Medical Graduates

Fifth Pathway Program Requirements

 
 

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