- Name Change – If you have had a name change for any reason, submit copies of the document evidencing the name change (Marriage Certificate, Divorce Decree, Adoption Order, Court Order, or Naturalization Certificate).
- Pre-Medical Transcripts – Official FINAL transcripts with school seal attached and degree awarded. from any pre-professional (undergraduate) program you attended
- Medical Transcripts – Official FINAL transcripts with school seal affixed and degree awarded. from any medical or osteopathic school you attended.
- Medical Diploma – A copy of your medical diploma (not larger than 8 ½ x11″)
- Official Examination Scores – Your examination scores need to be sent directly to the Missouri Board of Healing Arts from one of the below agencies. Please see below for specific instructions regarding the different licensing examinations.
USMLE/FLEX: Request an official transcript at https: portal.tsmb.org/Myrsmb/. For assistance, call 817-868-4041 or email usmie@tsmb.org
NBME: Request our scores at https://www.nbme.org/Cert-tran/Scores-and-transcripts.html. For assistance. call 215-590-9500 or email scores@nbme.org.
NBOME/COMLEX-USA: Request a certified copy of your official transcript at https:/ www.nbome.org/exams-assessments/exam-faqs/. For assistance, call 866-479-6828 or email Client Services at clientservices@nbome.ore
State Board Examination: Request the state board or jurisdiction to send your state exam information directly to the board you are applying to for licensure. Most boards require a fee for this service. A director of state medical boards is available at https://www.fsmb.org/contact-a-state-medical-board/
LMCC: Complete the Service Request form at http:/mcc.ca/ media/service-request-form-z.pat. For assistance, call 613-520-2240 or email service@mcc
Postgraduate Reference Letter -The director of each training program vou have participated in must submit a Postgraduate Reference Form or letter directly to the Board One copy of this form is included in the application packet. Please print/make additional copies as necessary.
Verification of Licensure – If you have ever held a permanent, temporary or institutional license, permit or certificate in any state, territory or country to practice as a physician, dentist, nurse, physician assistant, or any other professions in which a license, permit or certificate was issued. The licensing agency must submit a verification of each to our office. The verification must be submitted directly from the licensing agency to our office. Some licensing agencies use a secure online verification portal however it is your responsibility to contact the licensing agency and advise them you are applying for a Missouri license. The Board accepts verifications from VeriDoc.
Hospital Affiliation Form – Each hospital where you have held active admitting privileges in the Us or Canada in the last five years must submit this form. This does not Include training hospitals. Please have the hospital submit the form directly to the Board
Photograph – A photograph no larger than 3 ½” x 5” be attached to the application in the space provided. Please do not staple or paperclip.
National Practitioners Data Bank Self-Query – Contact the National Practitioner’s Data Bank (NPDB) at 1-800-767-6732 or http:/www.npdb.hrsa.gov/index.isp and perform a self-query. When you receive your self-querv. forward the original information to the Board by emaillicensure@pr.mo.gov), tax 573-751-3166 or mail.
RECIPROCITY – If you answer “yes” to all of the questions on Section B. RECIPROCITY, and you:
- Have not had your license revoked bv an oversight body outside the state:
- Are not currently under Investigation;
- Do not have a complaint pending;
- Are not currently under disciplinary action with an oversight body outside the state;
- Do not have a criminal record that would disqualify you for licensure in Missouri:
- Are not licensed in another state pursuant to an interstate compact;
Then you may be eligible for a license via reciprocity. Reciprocity applicants are not required to submit examination scores, a copy of their medical school diploma, and official premedical and medical transcripts
FCVS – The Board accepts information from the Federation Credentials Verification Service (FCVS) for any applicant who wishes to use this service. The FCVS does NOT provide all of the documentation required for licensure. If you choose to use FCVS, the following information is usually included in the FCVS packet and NOT required to be submitted with your application as long as they are included in the FCVS.
- Medical school diploma;
- Postgraduate reference
- NBME scores:
- ECFMG Certification
- FLEX/USMLE scores;(International graduates only)
The following information is required to be submitted IN ADDITION TO the CVS packet:
- National Practitioner Data Bank
- Hospital Affiliation
- Copy of International Medical
- Premedical transcripts;
- Verification(s):
- License if applicable).
- State License Verification(s);