Delaware physician licensing.

The board publishes no processing time in days: its FAQ says a complete application is reviewed for approval of licensure on or before the next board meeting, and that the time depends on how quickly the application and all supporting documents arrive. The board generally meets the first Tuesday of each month except August and December, Delaware law sets no deadline for its decision, and a started online application must be submitted within six months or begun again. On the compact route, IMLCC’s Year 9 averages were 38 days from application to a Letter of Qualification, then 22 days from qualification to issued licenses.

$611 in published fees for an MD and $606 for a DO: the $440 application fee, the $85 state and FBI background check, $16 for the NPDB self-query with the mailed copy the board asks for, and a $70 USMLE or $65 COMLEX-USA transcript. Through the IMLC, fees come to $1,130: $700 to the IMLCC plus the $430 its fee table lists for Delaware, though the direct application fee rose to $440 on July 1, 2026. An optional first FCVS profile brings the MD total to $936. Prescribers add Delaware’s $210 controlled substance registration and the DEA’s $888.

Yes. Delaware enacted the Interstate Medical Licensure Compact in 2021, effective July 1, 2022, the board issues licenses through it, and Delaware can be your state of principal license. In IMLCC’s Year 9, April 2025 to March 2026, the board approved 55 Letters of Qualification and issued 459 licenses through the compact. Compact fees come to $1,130, $700 to the IMLCC plus the $430 its fee table lists for Delaware, against $611 for an MD applying directly; the compact can still make sense when you are adding several member states, since the $700 is the initial cost of taking part and each state adds its own license fee.

Yes, unless you qualify for Delaware’s interstate telehealth registration. Delaware law places the practice of medicine where the patient is, so treating a patient located in Delaware takes a Delaware certificate, outside narrow exceptions such as a consultation with a Delaware physician. A physician licensed in another state who will provide telehealth only, and who holds no active license in a state that has enacted a compact in which Delaware participates, which for a physician means the IMLC, can instead hold the $50 registration, within a provider-patient relationship established as Delaware’s telehealth law requires, while in good standing everywhere and free of pending complaints and investigations.

The board’s rule says yes: a personal interview is part of the application process, not held until your complete application reaches the board’s office, and a video interview counts if the interviewer can see you and your photo identification. The board’s president can waive it as a hardship, though under the rule distance alone is not one. The board’s own pages do not mention the interview.

Yes. The board’s rule requires USMLE Steps 1, 2, and 3 passed within 7 years, with no more than 6 attempts at a step unless you show additional experience the board accepts. An application outside the seven years goes to the full board, which votes on a waiver, except that since September 2026 the board’s president reviews those of applicants who took longer while in a joint degree program. The compact’s own limit is 3 attempts per component.

Neither. The board accepts an FCVS profile in place of your school, training, and exam records but does not require one, and it takes its own online application, not FSMB’s Uniform Application. A first profile costs $395 with USMLE transcripts included, which brings an MD’s total to $936, or $640 with an existing $99 profile, since the board still asks for your NPDB self-query; FSMB says it typically processes a first profile in roughly 35 days and later ones in roughly 20 days or less.

Fingerprints yes, a jurisprudence exam no. Every standard applicant has a state and FBI criminal history check, $85, with fingerprints taken digitally through IdentoGO; a check run for any other purpose, such as employment or another state’s license, does not count, and one requested with incorrect information is done again from the start, fee included. Delaware law bars a license until the criminal history reports are in. Delaware has no jurisprudence exam for physicians. On the compact route, your state of principal license runs the check.

Barely. One board licenses both through the same application and the same $440 fee, its members include DOs, and the IMLCC lists a single Delaware fee. DOs send their COMLEX-USA history from NBOME, at $65, instead of the USMLE transcript from FSMB, at $70, so a DO’s published fees come to $606 against an MD’s $611.

Renewing every two years, by March 31 of odd-numbered years, next on March 31, 2027, at a fee DPR gives only at renewal. Each renewal needs 40 CME hours from the two-year period, fewer at a first renewal, and at least an hour of training on child abuse and domestic violence, and from the 2027 renewal, 2 of the hours must cover Alzheimer’s disease or other dementias unless you are exempt, for instance because you provide health-care services to no one in Delaware. Failing the CME requirement brings a $5,000 fine under the board’s disciplinary guidelines. Prescribers also hold a $210 Delaware controlled substance registration, renewed by June 30 of odd-numbered years, and register with the Prescription Monitoring Program within 90 days of their first.