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 .0800 - Medical School Faculty License | 21 NCAC 32 B .0801 - Definition of Practice
The license for Medical School Faculty limits the practice of its holder to the confines of the physician’s employment as a member of the medical faculty at one of the following North Carolina medical schools:

• Duke University School of Medicine;
• University of North Carolina at Chapel Hill School of Medicine;
• East Carolina University School of Medicine; and
• Wake Forest University School of Medicine

This license will not be used to engage in a practice outside the realm of the medical school.

History Note:      Authority G.S. 90-12; Eff. October 1, 1993.

In order to be eligible for a Faculty Limited License, you must have been appointed to the faculty of a University or one of its affiliated hospitals. The dean of the university’s school of medicine must state as much in a letter addressed to the Executive Director of the North Carolina Medical Board. The requirements are as follows:

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 (form enclosed-photocopy as needed).  Attach a photocopy of plaintiffs complaints and settlement orders for each incident. 
• Sign applicant’s oath and have signature NOTARIZED.  Make sure the original application form is submitted to the Board.
 
• Include name change documentation, if applicable.

 
2. An applicant must submit a recent photograph at least two inches by two inches, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your medical school on the Board’s Medical School Certification form. This certification must bear the original signature of the Dean or other official of your medical school. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.

• Transcripts - If you did not attend one medical school for the standard four years, OR if you attended more than one medical school, you must submit original medical school transcript(s). Please translate into English, if applicable

3.  Applicants must submit a National Practitioner Data Bank (NPDB) and Healthcare Integrity and Protection Data Bank (HIPDB) report as part of their application.  The NPDB and HIPDB reports must be dated within sixty (60) days of submission of your application to the NCMB. You will need to send the notarized “self-query” form to the National Practitioner Data Bank address.  The NPDB will send you e-mail notification when the report is available for online viewing.  You can access this reoprt online from their web site.  You will need to print this report and send to the NCMB.  You can e-mail a copy of the report to .

4. Letter from the Dean or Acting Dean of the Medical School in which the applicant will be practicing, verifying the appointment and giving details of the appointment.  This letter must be an original, addressed to the NC Medical Board. 

5. Two recommendations must be from physicians using the enclosed Physician Reference Forms. Recommendations cannot be from a relative.  These forms must be sent from the reference source directly to the NC Medical Board.

6. Applicants must request an AMA Physician Profile from the AMA.  Visit the AMA’s Web site to request a profile be mailed directly to the NCMB office from the AMA.  If you are a DO, visit the American Osteopathic Association’s Web site to request a physician profile be sent directly to the NCMB from the AOA.  This should be done in addition to the AMA profile. 

7.  You must secure a report from each state 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.   

• If you have ever been licensed in Connecticut, you must send an additional release form, located in the list to the right, along with the licensure biography form to the Connecticut Department of Public Health. If you have never been licensed in Connecticut, disregard the form.

8.  Applicants who did not take FLEX or USMLE must request a Board Action Databank Inquiry form from the Federation of State Medical Boards of the US. 

9. 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 a response has been received from the appropriate agency.  Expect a minimum of 8 weeks for the report to be received.  First set of fingerprint cards must be submitted with your NCMB application.  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 upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice.  E-mail   to request a set of fingerprint cards.

10. 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.  You will be notified regarding the board member’s decision. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.

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