Med license form 2025

1. Click ‘Get Form’ to open the med license form in the editor.
2. Begin by filling out the applicant section. Enter your last name, first name, and middle name in the designated fields.
3. Provide your date of birth in the format Month/Day/Year and enter your Social Security Number as required.
4. Complete your address by entering street, city, state, and ZIP code in the appropriate fields.
5. Refer to the reference sheet to record your profession name and three-digit profession code for your Illinois application.
6. If applicable, choose either section A or B based on your clinical teaching facility affiliation. Ensure you have the necessary signatures and seals from the appropriate officials.
7. Review all entered information for accuracy before submitting the form through our platform.

Start using our platform today to streamline your med license form completion for free!