Please note that a fee of $5.00 is required to accompany each request for completion of a state medical board medical education verification form (Licensure).
A state medical board medical education verification form (Licensure) is a document required by some State Medical Boards for verification of a degree earned by a medical professional. It may be referred to as a medical education verification form, certification of medical education form, certificate of professional training form, or other similar name. The application process for some states requires both your academic transcript and completion of a verification form, and other states require only one or the other. If you are applying for Licensure/Certification in the United States please refer to that state’s licensure application instructions regarding requirements for verification of your medical education.