Other Physician Licenses

The NC Medical Board offers additional license applications to meet the different needs of physicians wishing to practice medicine in North Carolina and those that may not require a full and unrestricted license.

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Application for reinstatement of NC medical license

The reinstatement application is for a physician who has held a NC license but whose license either has been inactive for more than one year or whose license became inactive as a result of disciplinary action (revocation or suspension) taken by the Board.  It also applies to a physician who has surrendered a license prior to charges being filed by the Board.

The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.

An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address) with any questions.

Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)

1. Completed the online application.  The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 dys to avoid having your application deleted.  During the online application, you will be required to provide your chronological history from highschool to the present.  If you have problems downloading any forms while completing the application, you can print them by clicking on “download form” in the the list to the right.

2.  Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.  When possible, have different officials complete each card.  It is recommended you have your loca law enforcement office complete the fingerprinting.  An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received.  Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted.  Fingerprint cards are submitted for processing twice a week.  The SBI has suggested that using live scan when available may be a more reliable choice.  When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board.  They cannot be submitted electronically.  Email fpc@ncmedboard.org to request a set of fingerprint cards.  A set contains two fingerprint cards.

2. You must secure a report from each state, US territory or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified.  Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the Veridoc service.

  • If you are submitting verification of a Connecticut license as part of this application, you must send the Connecticut release form along with the licensure verification form along with the licensure biography form to the Connecticut Department of Public Health.

3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.

4. ECFMG: Graduates of foreign medical schools excluding those who completed a Fifthpathway program must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.

5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate.

6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:

  • USMLE examination
  • National Osteopathic Board of Medical Examiners Examination or COMLEX
  • SPEX examination with a score of at least 75
  • COMVEX examination, Osteopathic examination equivalent to SPEX
  • Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada
  • (FRCS).
  • Completion of GME approved by ACGME, AOA, CFPC or RCPSC

If you have not met one of the seven qualifications above, you must submit your CME documentation as indicated below.

Submit documentation of 60 hours of practice relevant CME obtained in the past three (3) years. The 60 hours shall be educational provider-initiated. You will need to submit certificates of completion for all CME hours obtained.

Category 1 CME providers are:

  • Institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations;
  • The American Osteopathic Association (AOA);
  • A state medical society or association;
  • The American Medical Association (AMA); and
  • Specialty boards accredited by the American Board of Medical Specialties (ABMS), the AOA or the Royal College of Physicians and Surgeons of Canada (RCPSC).

Category 1 CME education shall include

  • Educational courses;
  • Scientific or clinical presentations or publications;
  • Printed, recorded, audio, video, online or electronic educational materials for which CME credits are awarded by the publisher;
  • Skill development;
  • Performance improvement activities; or
  • Journal-based CME activities within a peer-reviewed, professional journal.

7. The NC Medical Board staff will request the following documentation on behalf of the applicant.  If staff is unable to obtain this information, the applicant online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.

  • AMA physician profile.
  • AOA physician profile.
  • FSMB Board Action Data Bank report.
  • NPDB/HIPDB report.

8.  Provide documentation of immigration status as outlined in the online application.

9.  When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.

10. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.

Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.

Application for reactivation of NC medical license

Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year.  However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.

Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.

1. Completed Reactivation Application.

  • Circle the correct answer for all questions and provide DETAILED explanations for affirmative answers.
  • A claim form must be completed for EACH malpractice suit or settlement (form enclosed-photocopy as needed).  Attach a photocopy of plaintiffs complaints and settlement orders for each incident.
  • If your name has changed at any time during your life, you will need to list your prior names and submit a copy of legal documentation (marriage certificate, divorce decree, adoption papers, etc.) supporting the name change.
  • Attach a photograph taken within the past year to the applicant’s oath and have the form notarized.

2.  Complete Immigration Status Form.

3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.  When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received.  Expect a minimum of 8 weeks for the report to be received.  Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted.  Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board.  They cannot be submitted electronically.  See detailed instructions for completing cards.  E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.  A set contains 2 fingerprint cards.

4.  You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form.  If you have not obtained any CME since becoming inactive, you will need to send a letter stating this. 

5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review.  If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview.  Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required.  INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.

6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application.  It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine.  Applicants in this category will be required to appear for a personal interview.

REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED.  A RENEWAL FEE IS REQUIRED.

Application for retired limited volunteer license

Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License

Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)

Physicians must complete the full Retired Limited Volunteer License Application if they have:

  1. Held a NC medical license and it has been inactive for more than six months; or
  2. Never held a NC medical license, but wish to obtain a retired volunteer license

No application fee is required.

All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104

An annual registration fee will be required.

Application for a full license from a retired volunteer license

Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 60 hours of practice-relevant CME obtained in the past three years.  The 60 hours shall be educational provider-initiated. An interview may be required. 

Application for special permit/special purpose license

This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.

The Special Purpose License is for physicians who wish to come to North Carolina for a limited time, scope and purpose, such as to demonstrate a new technique, procedure or piece of equipment, or to educate physicians or medical students in an emerging disease or public health issue.

Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.

1. Completed application form.

  • Circle the correct answer for all questions and provide a detailed explanation for all affirmative answers.
  • A claim form must be completed for EACH malpractice suit or settlement (photocopy as needed). Attach a photocopy of plaintiffs complaints and settlement orders for each incident.
  • Attach a photograph taken within the past year to the applicant’s oath and have the form notarized.
  • If your name has changed at any time during your life, you will need to list your prior names and submit a copy of legal documentation (marriage certificate, divorce decree, adoption papers, etc.) supporting the name change.

2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).

3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.

  • If you are submitting verification of a Connecticut license as part of this application, you must send the Connecticut release form along with the NC license verification form to the Connecticut Department of Public Health.

4. Complete the Immigration Status Form.

5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.  When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received.  Expect a minimum of 8 weeks for the report to be received.  Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted.  Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board.  They cannot be submitted electronically.  See detailed instructions for completing cards.  .(JavaScript must be enabled to view this email address).  A set contains 2 fingerprint cards.

6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.

Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.

 

Application for medical school faculty license

This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.

Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.

Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501

A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates.  “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME. 

The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.

A Medical School Faculty Limited License cannot be “reactivated or reinstated”.  If the license is made inactive, the physician must reapply.

1. Completed application form.

  • Circle the correct answer for all questions.
  • Provide detailed explanations for affirmative answers.
  • A claim form must be completed for each malpractice suit or settlement. Attach a photocopy of plaintiff’s complaint and settlement orders for each incident.
  • If your name has changed at any time during your life, you will need to list your prior names and submit a copy of legal documentation (marriage certificate, divorce decree, adoption papers, etc.) supporting the name change.


2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.


3. Sign and return the Eligibility Requirements form to the NCMB.


4. Verification of Faculty Appointment form.  Forward form to the medical school where you will hold your appointment.  Applicant must have received a full time appointment as either a lecturer, assistant professor, associate professor or full professor at a medical school in the state of North Carolina.


5. Verification of medical education:  Forward form to your medical school for completion.
    (a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.


6. Complete the Immigration Status Form and submit required documentation.


7.  Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative.  These forms must be sent from the reference source directly to the NC Medical Board.


8.  Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:

  • ACGME (Accreditation Council on Graduate Medical Education
  • AOA (American Osteopathic Association);
  • CFPC (College of Family Physicians of Canada)
  • RCPSC (Royal College of Physicians and Surgeons of Canada

    or evidence of other education, training or experience, to be determined by the Board as equivalent.


9.  You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified.  Most licensing agencies charge a fee for this service.  The verifications should be sent directly to the NC Medical Board.  The NCMB accept license verification through the veridoc service.

  • If you have ever been licensed in Connecticut, you must send the consent for release of confidential disciplinary records form along with the NC license verification form to the Connecticut Department of Public Health. If you have never been licensed in Connecticut, disregard the form.


10.  The NC Medical Board staff will request the following documentation on behalf of the applicant.  If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.

  • AMA physician profile
  • AOA physician profile
  • FSMB Board Action Data Bank report
  • NPDB/HIPDB report


11.  Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.  When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received.  Expect a minimum of 8 weeks for the report to be received.  Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted.  Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board.  They cannot be submitted electronically.  See detailed instructions for completing cards.  E-mail fpc@ncmedboard.org to request a set of fingerprint cards.  A set contains 2 fingerprint cards.


12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted.  Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee.  Returned checks will have to be replaced by a certified check.  FEES RECEIVED ARE NOT REFUNDABLE.


13.  When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.


14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.


RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED.  A RENEWAL FEE IS REQUIRED.