|
|
|
|
|
|
State Board of Medicine
Licensure Information
|
|
Rules and regulations - Available from Board office upon request. Remember to include your mailing address with your request.
Name change - Will be made only when a copy of an official document (marriage certificate, divorce decree or court order) is submitted with a letter of request. The fee for a duplicate license is $5.00 (check or money order) payable to the Commonwealth of PA.
Address change - Written requests should include the old address, new address and license number and/or social security number. The Board must be notified within 10 days of any change in address.
Verification of License to Another State - Submit a $15.00 personal check or money order payable to "Commonwealth of PA" for each verification, along with a written request that includes the licensee's name, Pennsylvania license number and where the verification is to be sent. |
Back to Top
Board application forms available to be downloaded:
If you require special accommodation in downloading or viewing a form, please email the BPOA Webmaster at RA-BPOA@state.pa.us.
PHYSICIAN AND SURGEON (MD)
PHYSICIAN ASSISTANT (PAC)
NURSE-MIDWIFE (CNM)
RESPIRATORY THERAPIST (RT)
ATHLETIC TRAINER (ATC)
ACUPUNCTURIST (AK) and/or PRACTITIONER OF ORIENTAL MEDICINE (POM)
ALL OTHER APPLICATIONS/FORMS
Questions regarding practice of this profession may be directed to the Office of the State Board:
Board Administrator, State Board of Medicine, P.O. Box 2649, Harrisburg, PA 17105-2649, (717) 783-1400. e-mail: ST-MEDICINE@state.pa.us |
Back to Top
Board Examination Information:
MEDICAL DOCTORS
USMLE Step 3
For examination information contact the: Federation of State Medical Boards of the United States, Inc., (FSMB), 400 Fuller Wiser Road, Euless, TX 76039. Phone: 817-571-2949.
PHYSICIAN ASSISTANTS
NCCPA Examination
For examination information contact: National Commission on Certification of Physician Assistants (NCCPA), 12000 Findley Road, Suite 200, Duluth, GA 30097. Phone 678-417-8100; FAX 678-417-8135.
NURSE-MIDWIVES
ACNM Certification Examination
For examination information contact: American Midwifery Certification Board, Inc. 849 International Drive, Suite 205, Linthicum, MD 21090. Phone number 410-694-9424; Fax number 410-694-9425.
ACUPUNCTURISTS
NCCAOM Certification Examination
For examination information contact: National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM), 11 Canal Center Plaza, Suite 300, Alexandria, VA 22314. Phone 703-548-9004; FAX 703-548-9097.
RESPIRATORY THERAPISTS
NBRC Certification Examination
For examination application information (if a graduate of a therapist or technician program) contact: National Board for Respiratory Care (NBRC), 8310 Nieman Road, Lenexa, KS 66214-1579. Phone 913-599-4200; FAX 913-541-0156; E-mail address: NBRC. For examination application information (if not a graduate of a therapist or technician program) contact the Board office. Completed applications are submitted directly to NBRC.
RADIOLOGY EXAMINATION (FOR AUXILIARY PERSONNEL PERFORMING RADIOLOGIC PROCEDURE)
Completed applications are submitted directly to the State Board of Medicine, P.O. Box 2649, Harrisburg, PA 17105, FAX 717-787-7769. Fees are subject to change.
Examinations are administered as computer based tests (CBT) through the Pearson VUE. |
Back to Top
RENEWAL DATES & FEES:
| Medical Doctor-Unrestricted |
December 31 - Even-Numbered Years |
$360.00 |
| Medical Doctor-Training |
Yearly (Dates vary) |
$15.00 |
| Medical Doctor-Institutional |
December 31 - Even-Numbered Years |
$25.00 |
| Physician Assistant |
December 31 - Even-Numbered Years |
$40.00 |
| Nurse-Midwife |
December 31 - Even-Numbered Years |
$40.00 |
| Nurse-Midwife Prescriptive Authority |
December 31 - Even-Numbered Years |
$25.00 |
| Acupuncturist |
December 31 - Even-Numbered Years |
$40.00 |
| Practitioner of Oriental Medicine |
December 31 - Even-Numbered Years |
$40.00 |
| Athletic Trainer |
December 31- Even-
Numbered Years |
$37.00 |
| Respiratory Therapist |
December 31 - Even-Numbered Years |
$25.00 |
NOTE: The Post Office does not forward licenses. |
Back to Top
|
State Board of Medicine P.O. Box 2649, Harrisburg, PA 17105-2649 Phone - (717) 783-1400 Fax - (717) 787-7769 ST-MEDICINE@state.pa.us
|
|
|
|
|
