PHYSICIAN
Summary Overall Rank Education License Fees Table 

  Rank Education and Experience Examination Continuing Education Fees Reciprocity or Endorsement
State Average Rank Residency Training Examination Fees Continuing Education Reciprocity Graduation from an Accredited School of Medicine U.S. Graduate Residency Training (years) Foreign Graduate Documentation Foreign Graduate Residency Training (years) National Exam Continuing Education Hours per Year Initial License Renewal per year Total Lic Period (yr(s)) Reciprocity or Endorsement Years Licensed Additional Fees
Connecticut 2 3 N/A 1 2 1 Yes 2 ECFMG, 5th Pathway 2 Yes 25 $450.00 $450.00 $900.00 1      
Maine 2 2 N/A 1 3 1 Yes 3 ECFMG, WHO 3 Yes 20 $700.00 $200.00 $900.00 2      
Texas 2 3 N/A 1 2 1 Yes 1 ECFMG, 5th Pathway 3 Yes 24 $1,559.00 $375.00 $1,934.00 2      
Washington 2 3 N/A 3 1 1 Yes 2 ECFMG, 5th Pathway 2 Yes 50 $325.00 $155.00 $480.00 2      
Wyoming 2 3 N/A 3 1 1 Yes 1 ECFMG, 5th Pathway 3 Yes 60 $350.00 $200.00 $550.00 1      
California 2 5 N/A 1 2 1 Yes 0.33 ECFMG 0.33 Yes 25 $1,105.00 $395.00 $1,500.00 2      
New Hampshire 2 3 N/A 4 1 1 Yes 2 ECFMG 2 Yes 50 $250.00 $150.00 $400.00 2      
Alaska 3 2 N/A 1 2 5 Yes 2 ECFMG, WHO 3 Yes 25 $840.00 $295.00 $1,135.00 2 Yes    
Illinois 3 4 N/A 4 1 1 Yes 1 ECFMG, 5th Pathway 1 Yes 50 $300.00 $100.00 $400.00 3      
Iowa 3 4 N/A 2 3 1 Yes 1 ECFMG, 5th Pathway 1 Yes 20 $496.00 $200.00 $696.00 2      
New Jersey 3 2 N/A 2 1 5 Yes 3 ECFMG, 5th Pathway 3 Yes 50 $665.00 $170.00 $835.00 2 Yes    
Tennessee 3 3 N/A 3 3 1 Yes 1 ECFMG, WHO, 3 Yes 20 $410.00 $117.50 $527.50 2      
Georgia 3 3 N/A 4 3 1 Yes 1 WHO, 5th Pathway, ECFMG 3 Yes 20 $400.00 $75.00 $475.00 2      
Nevada 3 2 N/A 1 3 5 Yes 3 ECFMG 3 Yes 20 $1,075.00 $300.00 $1,375.00 2 Yes   $200.00
Virginia 3 4 N/A 4 2 1 Yes 1 ECFMG 2 Yes 30 $302.00 $168.50 $470.50 2      
Arkansas 3 2 N/A 2 3 5 Yes 3 ECFMG 3 Yes 20 $500.00 $200.00 $700.00 1 Yes    
Colorado 3 3 N/A 3 5 1 Yes 1 ECFMG 3 Yes 0 $425.00 $155.00 $580.00 2      
Hawaii 3 4 N/A 4 3 1 Yes 1 ECFMG 2 Yes 20 $290.00 $120.00 $410.00 2      
Maryland 3 4 N/A 1 2 5 Yes 1 ECFMG, 5th Pathway 2 Yes 25 $817.00 $256.50 $1,073.50 2 Yes 10  
Massachusetts 3 4 N/A 2 1 5 Yes 1 ECFMG, WHO 2 Yes 50 $600.00 $200.00 $800.00 2 Yes    
Pennsylvania 3 1 N/A 5 1 5 Yes 2 ECFMG, 5th Pathway 3.4 Yes 50 $35.00 $180.00 $215.00 2 Yes    
Rhode Island 3 2 N/A 2 3 5 Yes 2 ECFMG, WHO, 5th Pathway 3 Yes 20 $537.50 $268.75 $806.25 2 Yes    
Arizona 3 4 N/A 1 3 5 Yes 1 ECFMG 2 Yes 20 $950.00 $225.00 $1,175.00 2 Yes    
Florida 3 4 N/A 1 3 5 Yes 1 ECFMG 2 Yes 20 $1,192.00 $227.00 $1,419.00 2 Yes    
Kansas 3 4 N/A 3 1 5 Yes 1 5th Pathway 2 Yes 50 $300.00 $222.50 $522.50 1 Yes    
Louisiana 3 3 N/A 2 3 5 Yes 1 ECFMG, WHO 3 Yes 20 $282.00 $332.00 $614.00 1 Yes   $100.00
Michigan 3 3 N/A 4 1 5 Yes 2 ECFMG, 5th Pathway 2 Yes 50 $235.00 $173.33 $408.33 3 Yes 10  
Minnesota 3 4 N/A 2 2 5 Yes 1 ECFMG 2 Yes 25 $392.00 $192.00 $584.00 1 Yes    
Mississippi 3 3 N/A 2 3 5 Yes 1 ECFMG 3 Yes 20 $500.00 $175.00 $675.00 1 Yes    
New Mexico 3 3 N/A 3 2 5 Yes 2   2 Yes 25 $400.00 $133.33 $533.33 3 Yes 3  
North Carolina 3 3 N/A 4 1 5 Yes 1 ECFMG, 5th Pathway 3 Yes 50 $288.00 $175.00 $463.00 1 Yes    
South Carolina 3 3 N/A 2 3 5 Yes 1 ECFMG, 5th Pathway 3 Yes 20 $600.00 $115.00 $715.00 2 Yes    
Idaho 4 3 N/A 3 3 5 Yes 1 ECFMG 3 Yes 20 $300.00 $200.00 $500.00 1 Yes   $100.00
Missouri 4 3 N/A 4 2 5 Yes 1 ECFMG, 5th Pathway 3 Yes 25 $300.00 $100.00 $400.00 2 Yes    
New York 4 3 N/A 1 5 5 Yes 1 ECFMG, 5th Pathway 3 Yes 0 $735.00 $300.00 $1,035.00 2 Yes    
West Virginia 4 3 N/A 4 2 5 Yes 1 ECFMG, 5th Pathway 3 Yes 25 $300.00 $150.00 $450.00 2 Yes    
Montana 4 2 N/A 3 5 5 Yes 2 ECFMG, 5th Pathway 3 Yes 0 $325.00 $200.00 $525.00 1 Yes    
Nebraska 4 3 N/A 5 2 5 Yes 1 ECFMG, 5th Pathway 3 Yes 25 $202.00 $38.50 $240.50 2 Yes 1  
Ohio 4 4 N/A 5 1 5 Yes 1 ECFMG, 5th Pathway 2 Yes 50 $300.00 $25.00 $325.00 2 Yes    
Oklahoma 4 4 N/A 3 3 5 Yes 1 ECFMG 2 Yes 20 $400.00 $150.00 $550.00 1 Yes    
Vermont 4 3 N/A 2 5 5 Yes 1 ECFMG, 5th Pathway 3 Yes 0 $450.00 $200.00 $650.00 2 Yes    
Delaware 4 3 N/A 5 3 5 Yes 1 ECFMG 3 Yes 20 $206.00 $117.50 $323.50 2 Yes   $150.00
Kentucky 4 3 N/A 5 3 5 Yes 2 WHO, ECFMG 2 Yes 20 $250.00 $125.00 $375.00 1 Yes    
North Dakota 4 3 N/A 5 3 5 Yes 1 ECFMG, 5th Pathway 3 Yes 20 $200.00 $150.00 $350.00 1 Yes    
Oregon 4 3 N/A 3 5 5 Yes 1 ECFMG, 5th Pathway 3 Yes 0 $350.00 $210.00 $560.00 2 Yes    
Alabama 4 3 N/A 5 4 5 Yes 1 ECFMG, WHO, 5th Pathway 3 Yes 12 $175.00 $200.00 $375.00 1 Yes    
South Dakota 4 3 N/A 4 5 5 Yes 2 ECFMG 2 Yes 0 $200.00 $200.00 $400.00 1 Yes    
Utah 4 4 N/A 5 3 5 Yes 1 ECFMG 2 Yes 20 $200.00 $91.50 $291.50 2 Yes 3  
Wisconsin 5 4 N/A 5 4 5 Yes 1   1 Yes 15 $110.00 $53.00 $163.00 2 Yes   $53.00
Indiana 5 4 N/A 5 5 5 Yes 1 ECFMG 2 Yes 0 $250.00 $100.00 $350.00 2 Yes