Medical Doctor Applications

**NOTICE**

In order to comply with federal law, the West Virginia Board of Medicine is obligated to inform each applicant or licensee from whom it requests a Social Security Number that disclosing such number is MANDATORY in order for this Board to comply with the reporting requirements of the National Practitioner Data Bank.

 

To apply for an initial license or to reactivate a license that has been expired for more than one year please complete the Uniform Application.

Please find below applications to reinstate a license which expired on June 30, 2019 or to change a license status.