Federation of State Medical Boards (FSMB) 400 Fuller Wiser Rd, Suite 300 Euless,TX 76039-3855 Teleph-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your USMLE ID number, Step 3 State Board, and Date of Birth in the designated fields. Ensure all information is accurate.
  3. Fill in your full name as it appears on official documents, including Last Name, First Name, and Middle Name.
  4. Provide the Hospital Name and its City and State. Include a contact telephone number for the hospital.
  5. Authorize the release of pertinent information by signing in the designated area. Make sure to date your signature.
  6. The Program Director must complete their section, including details about the duration of postgraduate training and accreditation. They will also need to sign and notarize this section.
  7. Finally, review all entries for accuracy before submitting the completed form directly to FSMB at the provided address.

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The Board does not mandate the use of FCVS and it is not a requirement for filing a Physicians and Surgeons application or a Postgraduate Training License application. As part of the application, you may request FCVS to submit their Medical Professional Information Profile directly to the Board.
The Board may accept primary source information provided in the FCVS profile in lieu of the following documents: Passport. Marriage Certificate/Name Change Information. ECFMG Certification Status Report.
The types of complaints the Board handles include: Substandard care (misdiagnosis, negligent treatment, delay in treatment, etc.) Prescribing issues (violation of drug laws, excessive/under prescribing) Sexual misconduct, impairment (drug, alcohol, mental, physical)
The Federation of State Medical Boards (FSMB) is a national nonprofit organization representing all medical and osteopathic licensing boards across the United States and its territories.
You can apply for the California Physicians and Surgeons License after you have completed three years of graduate medical training through a residency program in California or another state. You must also have passed the last Medical Licensure Exam, the USMLE Step 3, which is explained in detail in the Tests section.

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The overriding mission of medical boards is to serve the public by protecting it from incompetent, unprofessional, and improperly trained physicians.
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