Application for License to Practice Medicine

If you will be away from your computer for any period of time after starting your online application, it is strongly advised that you click on the "Save for Later" button located at the bottom of each page to minimize the risk of losing the application data that you have already input into the system. You can then log back into the application at a later time by clicking on "Continue Saved Application" located in the New Applicants section.

Note: For healthcare staffing firms or others facilitating this application for the applicant, please provide your contact information:


  1. Example: (000) 000-0000

  2. Example: account@domain.com

FCVS is a service of the Federation of State Medical Boards that, for a fee, provides primary source verification of core credentials for physicians applying for a medical license. It is accepted, but not required, by the North Dakota Board of Medicine. For further information about FCVS, click here.

Please choose one of the following:

Biographical Information
Other Names Used:
First Name: Middle Name: Last Name:

Click here to add fields for additional names used.


  1. Example: (000) 000-0000
  2. Please list city, state or province and country.
  3. / /
  4. feet inches
  5. pounds

  6. Example: 000-00-0000
Business Address:

  1. Example: (000) 000-0000

  2. Example: account@domain.com
Home Address:

  1. Example: (000) 000-0000
  2. Example: account@domain.com
Mail Preference:
Email Preference: