Limited Institutional License

• Requirements
• Instructions
• Application
  • Applications for limited institutional medical licenses must be requested by the state-supported institution in which applicant is going to be employed. Upon receipt of a request from the state-supported institution, the application will be forwarded to the requesting institution.

FORMS:

• Notary Guide
• Appendix A - Medical School Certification
• Appendix B - Postgraduate Training Certification
• Appendix C - Certification of Activities
• Appendix D - Verification of Licensure
• PRINT ALL DOCUMENTS