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Content subject to change. Revised September 2009.
Medical License Direct
Solution for your medical license needs.
PHONE: 850-623-1302  ~ FAX: 904-339-9671
Medical License Direct, LLC ~ info@medicallicensedirect.com
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info@medicallicensedirect.com
Delaware Board of Medical Practice

861 Silver Lake Blvd., Cannon Bldg., Ste. 203
Dover, DE 19904
Telephone:  (302) 739-4522    Fax:  (302) 739-2711
Medical License Direct Makes Delaware Medical License
Application Process Easier for Physicians

Medical License Direct provides medical licensing services to physicians who are seeking state medical
licenses in one or more states.
Free up your time for other priorities by submitting either a paper or
online
form and your application will be completed generally within a couple days.

We have the Delaware Board of Medical Practice application on file in PDF format ready for professional
completion; a system that allows production of applications and third party verification forms almost
instantly while retaining personal information in a safe and confidential environment; and a state medical
board knowledge base that is extensive and updated frequently.

What our medical license service will do for you:
  • Provide FREE initial pre-qualification and medical licensing consultation
  • Research and prepare your Delaware medical application
  • Ship completed medical license application to you
  • Send all verification requests and follow up to make sure the right people receive and process them
    quickly
  • Provide continuous follow up and frequent board update reports until you're licensed.

That's it! Fast and easy.

Discounts are available for multi-state acquisitions.

Call,
850-623-1302, weekdays 7:30 am to 5:00 pm and Saturdays 9:00 to noon CST for a FREE initial
consultation or quote.

Or email your questions to info@medicallicensedirect.com and you can expect a reply within an hour
or two during business hours.

We also offer a
pre-qualification form for your convenience. Or, please click HERE for our paper or
online form and we'll get started right away.
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New Licensure/Endorsement - General Information

MD’s and DO’s may apply concurrently for a license to practice medicine and surgery and for a controlled
substance registration.

* If you apply concurrently for your Physician – MD or Physician – DO license and a controlled substance
registration, the controlled substance registration will be processed after your Physician license is issued.
When your Delaware controlled substance registration is approved, you must then file for a federal DEA
registration.

* If you do not wish to apply for a controlled substance registration concurrently, you may apply later. To
apply later, use the Controlled Substances Application for Practitioners.

* Your first controlled substance registration covers all Delaware locations where you may prescribe
controlled substances. Typically, your main practice’s location is the address associated with this registration.
However, if you dispense (i.e., give out) and or store controlled substances for patient administration at any
additional locations, you or another practitioner in your practice must apply for a separate registration for
each such location.

* When your application is complete, please allow 4-8 weeks to receive your Physician license and an
additional two weeks to receive your controlled substance registration.

Requirements for All Applicants

The following requirements apply to all Physician applicants. A checklist with more detailed instructions is
included with the application. All auxiliary forms you need are also included with the application form.

* Submit completed, signed and notarized application form.

* Enclose processing fee by check or money order made payable to “State of Delaware.” The amount of the
fee depends on whether you are applying for only a Physician license or for both the Physician license and
controlled substance registration(s). See the example on the application checklist.

* If you answer “yes” to Questions 17 – 27 in the DISCLOSURES section, you must fully explain your answer.
It is suggested that you use the Physician Self-Report form enclosed with the application for this purpose.
However, if the Physician Self-Report does not fully cover your situation, you may submit a signed, notarized
statement in lieu of or in addition the Physician Self-Report.

* Complete the Criminal History Record Check Authorization form to request state and federal criminal
background checks. Follow the instructions on the authorization form to arrange to be fingerprinted.

* Arrange for the Board office to receive a Recommendation from Chief of Staff or Chief of Service form
mailed directly from the Chief of Staff or Chief of Service in a medical facility where you currently or
previously had privileges.

* If you now hold, or have ever held, a medical or training license in any jurisdiction other than Delaware,
arrange for the Board office to receive a Verification of Physician License form from each jurisdiction where
you have held a license.

* Request a self-query from the National Practitioner and Healthcare Integrity and Protection Data Banks
(NPDB/HIPDB) website. The self-query report will be mailed to your address. When you receive the report,
mail (do not fax) the original report to the Board office.

Additional Requirement for FCVS Applicants

Delaware accepts the Federation Credentials Verification Service (FCVS) of the Federation of State Medical
Boards (FSMB). If you use the FCVS service, arrange for the Board office to receive your Physician
Information Profile. For more information, see the FCVS website.

Additional Requirements Non-FCVS Applicants

If you are not using the FCVS service, the following requirements apply.

* Submit an 8 1/2" X 11" copy of your medical school diploma. If it is not in English, attach an English
translation from a reputable translating organization.

* Arrange for the Board office to receive a sealed or notarized Verification of Medical Education form from
each medical school that you attended, sent directly from each school to the Board office.

* If you graduated from a foreign medical school, submit 8 1/2" X 11" copy of your current and valid
Educational Commission for Foreign Medical Graduates (ECFMG) certificate.

* Submit an 8 1/2" X 11" copy of your Postgraduate Education Training Certificate(s) from training programs
approved by the Accreditation Council for Graduate Medical Education will be accepted.
      o If you graduated from a program approved by the American Medical Association (AMA) or American
Osteopathic Association (AOA) in the U.S. (or U.S. territory) or Canada, you must have completed one year
of postgraduate training in the U.S.
      o If you did not graduate from an AMA- or AOA-approved program, you must have completed three
years of postgraduate training in the U.S.

* Arrange for the Board office to receive a sealed or notarized Verification of Post Graduate Medical
Education form from each program that you attended, sent directly from the program to the Board office.

* Request a complete examination history, including all passing and failing attempts, sent directly to the
Board office from the following organizations:
      o ECFMG – Request report at www.ecfmg.org.
      o Federal Licensing Examination (FLEX), United States Medical Licensing Examination (USMLE), and
Special Purpose Examination (SPEX) examinations administered by the Federation of State Medical Boards –
Request report at www.fsmb.org.
      o National Board of Medical Examiners (NBME) examination administered by the National Board of
Medical Examiners – Request report at www.nbme.org.
      o National Board of Osteopathic Medical Examiners (NBOME) Comprehensive Osteopathic Medical
Licensing Examination (COMLEX-USA) examinations administered by the National Board of Osteopathic
Medical Examiners. Request report at www.nbome.org
      o Qualifying Examination (QE) Part I and Part II conducted by the Medical Council of Canada for the
purpose of awarding the "Licentiate of the Medical Council of Canada" (LMCC). Request report at www.mcc.
ca.

Personal Interview

A personal interview with a member of the Board is required for all Physician applicants. When your
application has been reviewed, the Board office will notify you whom to contact to schedule your interview.