Loading
Get Md By Examination Application - State Of Michigan - Michigan
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the MD By Examination Application - State Of Michigan - Michigan online
Applying for a medical doctor license by examination in Michigan can be a straightforward process when you have the right guidance. This guide provides step-by-step instructions to help you complete the MD By Examination Application effectively and efficiently.
Follow the steps to successfully complete your application.
- Press the ‘Get Form’ button to access the application form. This action will allow you to obtain and open the document for filling out.
- Begin by providing your demographic information. Fill in your first name, middle name, last name, birth date, U.S. social security number, address details, phone number, and email address. Ensure all information is accurate to avoid delays.
- Answer the personal data questions. Carefully read each question and indicate yes or no as applicable. If you answer 'yes' to any question, be prepared to provide additional explanations and documentation.
- List your professional education details. Include the name of the institution, address, graduation date, and degree received. This section is crucial for verifying your educational background.
- If you have held a medical license in another state or province, detail this information. Indicate each state, the license number, the date issued, duration of licensing, and how the license was obtained.
- In the certification section, read the statements carefully. By signing, you confirm that the information provided is truthful and complete. Your signature also authorizes the necessary criminal background checks.
- Once all sections are filled out, review your application for any errors or omissions. Make sure that all required forms, such as certifications of medical education and postgraduate training, are completed and sent as directed.
- Prepare your payment. Include a check or money order made payable to the State of Michigan with your application.
- Submit your application package to the Michigan Department of Licensing and Regulatory Affairs at the specified address. Ensure you have included all necessary documents and checks.
- After submitting, schedule your fingerprints to be taken as required, ideally 7-10 business days following your submission. This step is essential for the criminal background check process.
Complete your application online today and take the next step towards your medical career in Michigan!
Verification can be emailed to bpldata@michigan.gov or mailed to the Bureau of Professional Licensing, PO Box 30670, Lansing, MI 48909. Professional Education – Name of school attended, and name of educational program completed.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.