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BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY - Department of Consumer Affairs EDMUND G. BROWN JR., Governor MEDICAL BOARD OF CALIFORNIA Licensing Program APPLICATION (Please Check All That Apply).

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How to fill out the L1A - L1F License Application Forms - Mbc Ca online

Navigating the L1A - L1F License Application Forms can be a straightforward process with the right guidance. This guide offers clear, step-by-step instructions to assist you in completing the application online, ensuring your submission is accurate and efficient.

Follow the steps to successfully complete the application forms.

  1. Press the ‘Get Form’ button to access the form online and open it in your preferred editor.
  2. Begin with the 'Personal Information' section. Type or print legibly your legal name, including last, first, and middle names. Specify if you are a U.S. or Canadian medical school graduate or an international medical school graduate.
  3. Provide any other names or aliases you may have used. Enter your United States Social Security number clearly.
  4. Indicate your gender by selecting 'Male' or 'Female'.
  5. Fill in your date of birth in the format mm/dd/yyyy and your place of birth including city and state or country.
  6. Complete the 'Public/Mailing Address' section, ensuring it fits within the character limitations and is clear. If using a P.O. Box, include a confidential street address on an additional sheet.
  7. List your telephone numbers, including your home, work, and cell numbers.
  8. Provide your email address for communication.
  9. Answer the questions regarding previous applications or licenses, selecting 'Yes' or 'No' where applicable. Provide any necessary license numbers or details.
  10. In the 'Examinations' section, provide details of any examinations you have taken, noting dates and results.
  11. List your medical education details, including each school attended, attendance dates, and the title of the degree awarded.
  12. Respond to the questions regarding unusual circumstances during medical school and postgraduate training, providing explanations where 'Yes' is answered.
  13. Complete sections regarding any malpractice history or disciplinary actions you have faced, ensuring you provide signed explanations for affirmative answers.
  14. Fill in the criminal record history, ensuring you are thorough and accurate.
  15. Answer questions about practice impairment or limitations, supplying explanations for any affirmative answers.
  16. Affix a recent photograph that meets application requirements.
  17. Review your entire application for completeness and accuracy before submitting. You may then save changes, download, print, or share your form as needed.

Take the next step toward your medical license by completing the application forms online today!

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The application process take approximately 2-3 months, but may be longer when application volume is high. The greatest determining factor in completing a licensure file is the applicant's ability to secure the items required.

Apply by Mail Completed Application for a Physician's and Surgeon's License (Forms L1A-L1E) Pay required fees. Fingerprints Cards or copy of completed Request for Live Scan Service for electronic fingerprints. Explanation to Application Question (Form EXP), if applicable. Timeline of Activities (Form TOA), if applicable.

The first fee is the application fee, which is $491 and includes the $49 non-refundable fingerprint processing fee. This combined fee must be paid when submitting your application. Once your application is complete, you must pay an initial license fee of $808 before the license can be issued.

All electronic transcripts must be submitted to mbclicensingelectronicnotifications@mbc.ca.gov. The Board does not mandate the use of these online services and is providing this information as a convenience to applicants. Electronic transcripts will not be accepted from applicants.

Apply by Mail Completed Application for a Physician's and Surgeon's License (Forms L1A-L1E) Pay required fees. Fingerprints Cards or copy of completed Request for Live Scan Service for electronic fingerprints. Explanation to Application Question (Form EXP), if applicable. Timeline of Activities (Form TOA), if applicable.

The California Physician Medical License process is known to be lengthy and difficult. Expect to spend numerous hours preparing the application, making the verification requests, following up with your credential holders, and addressing deficiencies on your notices from the California Physician Medical Board, but…

The application process take approximately 2-3 months, but may be longer when application volume is high. The greatest determining factor in completing a licensure file is the applicant's ability to secure the items required.

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