Application for a medical doctor, limited medical, clinical academic limited or educational limited license. medicine form - michigan 2025

1. Click ‘Get Form’ to open the Application for a medical doctor in the editor.
2. Begin by entering your personal information in the designated fields, including your full name, MI Permanent ID (if applicable), Social Security number, and date of birth.
3. Fill in your contact details such as address, city, state, zip code, country, telephone number, and email address.
4. Indicate any other names you have used and select the appropriate license method by checking the relevant box.
5. Complete the Professional Education section by listing your educational background and hospital affiliations. Attach additional sheets if necessary.
6. Answer the Good Moral Character questions honestly and provide documentation if required.
7. Review all sections for accuracy before submitting your application along with any required fees.

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