Explanation to Application Question (Form EXP), if applicable. Upload in the "Attachment" section.Attach copy of completed Request for Live Scan Service for electronic fingerprints, if you complete this in California. Upload in the "Attachment" section.
#Breeze california verification license license#
You will be required to pay the $456.50 license fee before the license is issued.Īpplication for a Physician's and Surgeon's License (L1A-L1E) - We encourage you to apply online on BreeZe, please do the following: Note: If you only wish to pay the $674.00 application fee when submitting your application, you must submit a paper application and mail it to the Board. Submit a personal check if mailing the application or submit payment by credit card if submitting the application online on BreeZe. Application requires three 2x2 passport like photosĪpplication & Reduced Licensing Fee - $674.00 + $456.50 = $1,130.50.COMLEX Transcript- Proof of passing: Levels 1 at minimum.Medical School Diploma - Attach a regular photocopy to your application.A copy issued to a student is not acceptable. Certified Medical School Transcript - e-transcripts are acceptable if sent directly to the OMBC at by the osteopathic medical school.Certificate of Completion of AOA or ACGME Postgraduate Training(if applicable) - If you have completed previous training, please request your previous program to fill out.
Live Scan- Complete at a live scan agency and attach a photocopy of the completed live scan to your PTL application. GME Office will automatically submit on your behalf after program signature. PTL Enrollment Form- Please fill out the applicant information and sign the form and submit original form to the GME Office in person or by mail. If you applied online, you must also complete Form OMB.26. Complimentary notary is available at GME Office during business hours. PTL Application - Applicants with no middle name must apply by mail and cannot submit online on BreeZe. Application Fee - $491, Submit a personal check if mailing the application or submit payment by credit card if submitting the application online on BreeZe. ECFMG Certification Status Report - International graduates only. Updated CV or Timeline of Activities - Complete only if you've graduated over 6 months ago. Sign and date your updated CV or TOA Form. USMLE Transcript (Proof of passing: Steps 1 and 2CK at minimum). E-transcripts must be emailed to GME cannot complete this requirement for LLU grads. The board accepts e-transcripts from Scrip-Safe, Parchment, or Credentials Solutions, Inc. Certified Medical School Transcript - Request from medical school once you submit your PTL application. GME can complete for LLU grads only. LLU grads can email and state you have submitted your PTL Application. Certified Medical School Diploma - Request from medical school once you submit your PTL application. Certificate of Medical Education - Request from medical school once you submit your PTL application. Certificate of Completion of ACGME Postgraduate Training(if applicable) - If you have completed previous training, please request your previous program to fill out. Live Scan- Complete at a live scan agency within California and attach a photocopy of the completed live scan to the attachment section of your online PTL application. Please email and state you have submitted your PTL Application. PTL Enrollment Form - GME Office will submit on your behalf. 
Updated CV or Timeline of Activities (Form TOA), if applicable. Upload in the "Attachment" section.Explanation to Application Question (Form EXP), if applicable. Upload in the "Attachment" section.Copy of completed live scan, if applicable. Upload in the "Attachment" section.PTL Application - The board no longer accepts paper applications.Application Fee - $674, Submit payment by credit card online on BreeZe.
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