Board Information

• Board Members
• Mission Statement
• Meeting Dates
• Meeting Minutes
• Policies
• Rules and Statutes

Licensure

• About Licensure
• How to apply for MD Licensure
• Physician Assistants
• License Types and Status
• License Verifications

Discipline

• About Discipline
• Adverse Licensing Actions
• Non-Disciplinary Actions
• How to File a Complaint
• Press Releases
• Discipline Frequently Asked Questions Page

Board Online Services

• About Online Services
• MD Online Renewals
• Complaints against Staff
• Find a Licensee
• File a complaint online

Online renewals are available for MDs

Our Online Renewal process is available. MDs with licenses due for renewal can now renew their license by going to:

www.maine.gov/online/doclicensing

MD License Applications

Board of Licensure in Medicine
137 State House Station
Augusta, Maine 04333-0137

Dear Applicant,

Welcome to Maine. We are pleased you've chosen to apply for a license to practice medicine here.

Exam Information

If you are applying for a license to practice medicine in Maine, there is a written test given as part of the licensure process. The exam review materials can be seen by clicking here (PDF) and we encourage you to download and review them prior to taking the test. Exam Review Materials (PDF).

Applications

Below you can find applications for permanent, temporary and emergency licenses, applications for reinstatement, renewal, and for camp licenses and renewals. These are not interactive applications. You need to print the applications, fill them out, and mail them to our office.

The Fee Schedule is as follows: (click here for complete fee schedule)

CATEGORY		Current Fee effective 1/1/2005
Initial MD Application		$450
Registration fee (due with initial application)		$250
MD Renewal - biennial		$400
Temporary License		$300
Emergency 100 Day License		$300
Educational Certificates		$100 per year

Important Credit Card Instructions:

If you choose to pay your fee with a credit card, you must provide the following information:

Type of Card (MasterCard or Visa only!):

Card Number:

Expiration Date:

Amount:

Credit Card Holder name and billing address as it appears on the card:

This information can be included with your form on a separate typewritten sheet and mailed or faxed to the Board or you can phone it in.

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Permanent License

In addition to the application below you must complete a Federation Credentials Verification Service (FCVS) application. Click here to go to the the applications page: http://www.fsmb.org/fcvs_physapp.html , then download or fill out online the appropriate application.

Temporary License

Please note the following information. The fee for a temporary license is $300, payable to "Maine Board of Licensure in Medicine".

Any physician who is qualified under 32 MRSA, section 3275 may, without examination, be granted a temporary license for a period of time up to 6 months. That license may be extended for up to 6 months, but may not exceed one year, when the board deems it necessary to provide relief for local or national emergencies or for situations in which there are insufficient physicians to supply adequate medical services, including Locum Tenens needs.

Emergency (100 Day) License

A physician who presents a full, current, active, unconditioned license from another U.S. licensing jurisdiction and who can provide reasonable proof of meeting qualifications for licensure in Maine may, without examination, be granted a temporary license for a period not to exceed 100 days, when the board deems it necessary to provide relief for declared local emergencies or for other appropriate reasons as determined by the Board. The fee for this temporary license shall be $300, payable at the time of application.

Administrative License

"A License Limited to the Practice of Administrative medicine" means:

A. professional managerial or administrative activities related to the practice of medicine or to the delivery of health care services, but does not include the practice of clinical medicine; and/or,

B. medical research (excluding clinical trials on humans).

If the physician’s job does not include any act as defined in this rule as “clinical medicine”, a License Limited to the practice of Administrative Medicine is required.

Camp License or Renewal

Please download the appropriate form and follow the attached instructions.

Volunteer Conversion or Volunteer Renewal

Volunteer Status – The physician has retired or is retiring from the active practice of medicine and wishes to donate his or her expertise for the medical care and treatment of indigent and needy patients in the clinic setting of clinics organized, in whole or in part, for the delivery of health care services without charge.

Reinstatement

You may apply for a reinstatement if your license has lapsed or if you have withdrawn your license within the last five years. Please download the appropriate form and follow the attached instructions.

After withdrawal of your Maine license is approved, to be eligible to reinstate your license you will have to provide evidence of having actively engaged in the practice of medicine for the 12 months preceding the reinstatement application, or you will have to demonstrate current competency by passing a written examination or other practical demonstration as the Board may prescribe. You will also have to provide evidence of having achieved at least 40 category I CME credits and at least 60 Category II credits in the prior 24 months.

Verifications to other State Boards

We are now participating in the "VeriDoc" electronic license verification system. This system is intended for use by physicians who practice in the United States and need to have verification of the status of their active and inactive medical licenses sent to another state medical board. The Board of Licensure in Medicine sends VeriDoc our database of licensees on a daily basis. Maine-licensed MD's who are applying for licensure elsewhere will apply for Maine verifications to be sent to that licensing jurisdiction by logging on to www.veridoc.org .

CME Information Page

We have compiled our most requested Continuing Medical Education information into a single document for convenient access. This document includes the guidelines for reporting CME activity, the sections of the rules pertaining to CME, and a listing of Maine Institutions that are accredited to sponsor Category I programs. Click here to view this file (PDF)

Applications

If you have any questions regarding these applications, or if you cannot access these applications, please contact us at (207) 287-3601. Pre-printed copies are available upon request.

MD Permanent License(pdf)	MD Temporary License(pdf)	MD License Reinstatement(pdf)
MD License Renewal(pdf)	MD Camp License(pdf)	MD Camp Renewal(pdf)
MD Emergency 100 day License(pdf)	MD CME Report(pdf)	Prorated CME requirements(pdf)
MD Volunteer Conversion	MD Volunteer Renewal	MD Administrative License

Some pages on this site are PDF files and require Adobe ® Reader® for reading. For best accessibility, click here to download the current Adobe Reader.

Note: The best method for filling out any of our PDF forms is to:
- Click on the form you want to submit .
- Click on "Save a copy of this file" icon and save a copy to your local PC.
- Open your saved copy with Adobe Reader.
- Go to "Tools" , "Typewriter" and follow the instructions to enter text anywhere on the form necessary.
- Print out a copy and mail it to the Board.
- You can also save a copy of your filled-out form for your records if you choose.

 

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