Get License Verification Form - Maryland Board Of Physicians

The LICENSE VERIFICATION FORM for the Maryland Board of Physicians is essential for requesting verification of your medical license. This guide will help you navigate and complete the form accurately, ensuring a smooth verification process.

Follow the steps to fill out the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the licensee information section. Enter your last name, first name, and middle name as it appears on your medical license. Make sure these details are accurate.
3. Input your license number and social security number in the designated fields. This information is critical for the verification process.
4. Provide your telephone number and complete address, including city, state, and zip code. Ensure that all contact information is up to date, as this will be used for any necessary follow-up.
5. Review the authorization statement and sign your name, followed by the date of completion. This signature allows the board to release relevant information about your license.
6. In the mailing information section, provide the name and full address where you want the verification letter sent. If it should go to a state licensing board, include that information clearly.
7. If preferred, state whether you wish the verification to be sent by first-class mail or through a courier. If using a courier, please include a self-addressed and prepaid envelope for delivery.
8. Once you have completed the form, review all entered information for accuracy. After confirming that everything is correct, save your changes.
9. Finally, download, print, or share the form as needed. Ensure that you include your fee, payable to the Maryland Board of Physicians, before sending it to the address provided.

Complete your LICENSE VERIFICATION FORM online today to expedite your licensure verification process.