Idaho physician licensing.
One board licenses MDs and DOs, by endorsement, by examination, or through the IMLC, and Idaho law closes endorsement to any physician with a disciplinary action, past, pending, or confidential.
This guide is informational only, not legal advice. Fees and timelines change; the verified date and sources are on this page.
Idaho licenses MD and DO physicians through one board, the Idaho State Board of Medicine within the Division of Occupational and Professional Licenses (DOPL), by endorsement, by examination, or through the IMLC, and can be your state of principal license. Endorsement costs $480 in Idaho fees, before fingerprinting and license verification charges: the $160 application fee plus $320 for a new license’s first two years, at $160 a year. By examination, the exam transcript brings that to $550 for an MD or $545 for a DO. Compact fees total $1,020. The board publishes no processing time. The friction is eligibility: any disciplinary action, past, pending, or confidential, even a hospital’s, rules out endorsement.
Idaho at a glance.
- License
- Physician and surgeon (MD) or osteopathic physician and surgeon (DO) license, renewed every two years on your birthday
- MD and DO
- One board, with identical fees for both
- IMLC
- Member state, issuing licenses. Enacted 2015; Idaho can be the SPL; $700 IMLCC fee plus $320 for Idaho
- FCVS
- Accepted, not required; the board recommends it for international graduates
- Uniform Application
- Required, per FSMB and the board’s instructions; first-time users pay FSMB a one-time $60
- Fingerprints
- Required: a state and FBI check, on a fingerprint card from local law enforcement or at a Livescan location
- Jurisprudence exam
- None
- Interview
- Not routine; Idaho law lets the board require one, limited to your qualifications and credentials
- Board fee
- $160 application fee plus $320 initial licensure, two years at the $160 annual fee
- Renewal
- Every two years on your birthday, $320
- CME
- 40 Category 1 hours every two years, or current board certification; no mandatory topics
Which route fits.
MDs and DOs file with one board, the Idaho State Board of Medicine, part of the Division of Occupational and Professional Licenses (DOPL), at identical fees, either by endorsement of a license from another state or Canada or by examination, and the IMLC is a third way to a full Idaho license. Idaho law treats virtual care as rendered where the patient is, so outside narrow exemptions, such as short-term follow-up care for an established patient, care for an Idaho facility or hospital that has privileged and credentialed you, or a consultation an Idaho physician requests, treating a patient in Idaho takes an Idaho license. Psychiatrists also have a telehealth-only registration.
Licensure by endorsement.
- Who it fits
- MDs and DOs who hold a valid, unrevoked, unsuspended license in another US state, territory, or district or in Canada, with no disciplinary action of any kind: Idaho law makes anyone with a disciplinary action, past, pending, or confidential, by any medical board, licensing authority, medical or professional society, hospital, medical school, or institution staff, anywhere, ineligible for endorsement. You also show that you can provide the standard of care Idaho physicians provide.
- The trade-off
- A lighter file, at $480 in Idaho fees: the board’s endorsement checklist, as FSMB hosts it, asks for no school, training, or exam verifications. The file still carries the application with the board’s addenda, signatures before a notary, verification of every license you have held, and the fingerprint check, and DOPL does not publish its current online application. Idaho law lets the board require further examination to establish your qualifications, or an interview limited to your qualifications and credentials.
Licensing board: Idaho State Board of Medicine.
Licensure by examination.
- Who it fits
- Any MD or DO who meets Idaho’s education, training, and exam requirements, licensed elsewhere or not, including a physician whose disciplinary history rules out endorsement. Idaho asks one year of residency or internship of US and Canadian graduates and, of most international graduates, two years of progressive training at one accredited program.
- The trade-off
- The full file, at $550 for an MD or $545 for a DO with the exam transcript: each school you attended verifies your education and sends a sealed copy of your diploma and an official transcript, each training program verifies your training, and every exam transcript is required, even for an exam sequence you did not finish. FCVS can carry those items; the board accepts it without requiring it and recommends it for international graduates. An applicant who failed any exam step on two separate occasions may be required to be interviewed, evaluated, or examined by the board.
The IMLC.
- Who it fits
- Physicians whose state of principal license is another member state and who meet the compact’s terms, which include specialty certification and each exam component passed within three attempts. Idaho can also be your state of principal license, to add other member states, once you hold its full license.
- The trade-off
- It costs more in fees: $700 to the IMLCC plus $320 for Idaho, $1,020, none of it refundable, against $480 by endorsement; adding Idaho to a Letter of Qualification still within its 365 days costs $420. Your state of principal license verifies your eligibility and runs the background check, and DOPL says a license issued through the compact renews for two years plus the months to your birthday.
Telehealth registration, for psychiatrists.
- Who it fits
- Psychiatrists who will treat people in Idaho by telehealth only, with a current, valid, and unrestricted license in another US state, district, or territory whose requirements are substantially similar to Idaho’s, and no past or pending disciplinary proceedings other than over unpaid license fees.
- The trade-off
- $35 on the board’s fee table, against $480 for a full license by endorsement, and Idaho law has registrants register biennially. The registration allows no in-person care in Idaho and cannot be used as a basis for reciprocal or full licensure, and registrants consent to Idaho jurisdiction and follow Idaho’s community standard of care.
What it costs.
| Application fee, paid to DOPL for the board | $160 |
|---|---|
| Initial licensure, two years at $160 a year | $320 |
| All-in | $480 |
| Our service fee | Quoted with your plan |
| Application fee, paid to DOPL for the board | $160 |
|---|---|
| Initial licensure, two years at $160 a year | $320 |
| USMLE transcript (FSMB) | $70 |
| All-in | $550 |
| Our service fee | Quoted with your plan |
| Application fee, paid to DOPL for the board | $160 |
|---|---|
| Initial licensure, two years at $160 a year | $320 |
| COMLEX-USA transcript (NBOME) | $65 |
| All-in | $545 |
| Our service fee | Quoted with your plan |
| IMLCC fee | $700 |
|---|---|
| Idaho license fee, from the IMLCC fee table | $320 |
| All-in | $1,020 |
| Our service fee | Quoted with your plan |
The application fee and the initial licensure charge are paid to DOPL for the board, the same for an MD or a DO. The board’s fee table prints its initial license fee as $160, and the board’s June 2025 newsletter lists that fee among its annual fees; since April 1, 2026, DOPL issues every new license for at least two years and charges only for whole years, so the initial licensure charge comes to $320, two years at $160, the same figure the IMLCC lists for an Idaho license through the compact. DOPL considers refunds only at its discretion and only for an overpayment, a DOPL error, a military deployment, a death, or no work performed, and it may apply a $40 processing fee to an approved refund. Transcript fees go to FSMB or NBOME. On the IMLC route, the $700 and the $320 are paid through the IMLCC, which calls all fees non-refundable, and adding Idaho to a Letter of Qualification still within its 365 days costs a $100 handling fee plus the $320.
Left out of every total: FSMB’s one-time $60 Uniform Application charge, for first-time users; any separate charge for the state and FBI fingerprint check, since the board’s fee table lists none, and the charge for taking your prints, set by the law enforcement office or Livescan location; verification of every license you hold or have held, at each board’s own fee; notary fees, the passport-type photo, and any certified translations or name-change documents, none of which has a published price; an optional FCVS profile on the examination route, $395 for a first profile or $99 for a later one, USMLE transcripts included, which brings an MD’s total to $875, or $579 with an existing profile; for international graduates, ECFMG’s $70 certification status report, or through FCVS a one-time $75 fee and $70 for each board designation; SPEX, $1,400, only if the board requires further examination; and, for prescribers, Idaho’s $100 controlled substance registration and the $888 DEA registration for three years. On the IMLC route, your state of principal license runs the background check, at its fees.
Fees change; verified November 11, 2026.
How long it takes.
- At least two years, to your birthdayTerm of a new licenseDOPL’s notice of March 10, 2026: from April 1, 2026, every new applicant receives a license of at least two years that expires on their birthday, and licensees are charged only for whole years. It is the license’s term, not a processing time.Board-published
- 1 yearApplication with no activityIdaho law lets DOPL’s administrator terminate an application that has had no activity within one year, unless another law or rule says otherwise; it limits the file’s life, not the board’s review.Statutory deadline
- 15 business daysEndorsement for military-connected applicantsIdaho law intends licensure by endorsement within 15 business days of applying for a service member, an honorably discharged former member, a veteran, or the spouse of one, who holds a current, valid, and unrestricted license elsewhere and can validate their status and license in that time; it binds only those applicants.Statutory deadline
- 38 daysIMLC application to Letter of QualificationIMLCC’s Year 9 average across the compact, April 2025 to March 2026; 55% received the letter in 30 days or less.IMLCC average
- 22 daysIMLC qualification to licenses issuedIMLCC’s Year 9 average for the next stage, from qualification to the requested state licenses; 47% received them in 7 days or less. The two stages are separate averages, not a total.IMLCC average
The board publishes no processing time for physician applications in its pages, forms, or newsletters, and Idaho law sets no deadline for the board to decide an ordinary MD or DO application. So the pace turns on your verifications, from every board that has licensed you and, on the examination route, your schools, training programs, and exam bodies, and on whether the board asks for further examination or an interview. If you use FCVS, FSMB says it typically processes a first profile in roughly 35 days and later ones in roughly 20 days or less. No board guarantees a date.
What the file involves.
Going by the board’s forms and its instructions as FSMB hosts them, an Idaho endorsement file moves between 7 core parties and holds 7 core document types: the Uniform Application with its attestation questions; the board’s three addenda, one signed under penalty of perjury, one a release of information, and one a notarized affidavit for licensure by endorsement; a notarized affidavit and release with a passport-type color photo; your fingerprints; and a verification of every license you hold or have held. Each extra board that has licensed you adds a party. The examination route drops the endorsement affidavit and adds proof of identity, a verification, a sealed copy of your diploma, and an official transcript from each school, a verification from each training program, and every exam transcript, for 12 core document types and 9 core parties for an MD, or 10 for a DO, whose COMLEX-USA transcript comes from NBOME. FCVS, if you use it, carries the school, training, exam, and identity items, and international graduates add ECFMG. DOPL does not publish its current online application, so these counts are a floor. On the IMLC route, Idaho’s part involves 3 parties to issuance: the IMLCC, your state of principal license, and the board.
- FSMBRuns the Uniform Application, which FSMB lists the board as requiring, with the license data state boards send it directly; on the examination route, it also sends your USMLE transcript, or your FCVS profile if you use one.
- Every board that has licensed youVerifies each license you hold or have held, as FSMB’s Uniform Application process requires.
- A notary publicWitnesses your signature on each affidavit the board requires, one of them with your passport-type color photo.
- A law enforcement office or Livescan locationTakes your fingerprints, on a fingerprint card or electronically.
- The Idaho State PoliceRuns the state criminal history check on your prints, as Idaho’s sole channel for submitting them to the FBI.
- The FBIRuns the national criminal history check.
- DOPL and the Idaho State Board of MedicineDOPL reviews your criminal history results; the board decides the application and may require an interview.
- Each medical school you attendedOn the examination route, verifies your education to the board and sends a sealed copy of your diploma and an official transcript, unless FCVS carries them.
- Each postgraduate training programOn the examination route, verifies your training to the board, unless FCVS carries it.
- NBOME, for DOsOn the examination route, sends your COMLEX-USA transcript to the board.
- Endorsement eligibility
- A valid, unrevoked, unsuspended license in another US state, territory, or district or in Canada, and no disciplinary action, past, pending, or confidential, by any medical board, licensing authority, medical or professional society, hospital, medical school, or institution staff, in any state, territory, district, or country. A physician with any such action is not eligible for endorsement and applies by examination. Idaho law sets this bar; the board’s web pages do not mention it.
- Postgraduate training
- One year of a residency or internship program. Graduates of international schools need two years of progressive training at one program accredited by the ACGME, the AOA, or the Royal College of Physicians and Surgeons of Canada, or one year for a resident in an Idaho program on conditions the board’s rule lists, plus ECFMG certification or the equivalent exams the rule accepts. Their school must be listed in the World Directory of Medical Schools; graduates of an unlisted school show three of these four: a valid ECFMG certificate, three years of progressive training at one program, current ABMS or AOA certification, and five years of unrestricted practice in the US or Canada.
- Exams
- An examination conducted by or acceptable to the board, such as USMLE or, for DOs, COMLEX-USA. Idaho sets no attempt limit and no time limit for finishing the sequence, but an applicant who failed any step on two separate occasions may be required to be interviewed, evaluated, or examined by the board. The compact is stricter, with each component passed within three attempts.
- Time out of practice
- Idaho sets no fixed limit for a first license. Upon inquiry, the board may require SPEX, an FSMB post-licensure assessment, or an evaluation by an independent agency it accepts, and it may limit, condition, or restrict a newly issued license on that basis.
- Board certification
- Not required for an Idaho license. Current certification can stand in for the renewal CME hours, and the IMLC requires it.
We run the Idaho file.
We do
- Check your IMLC eligibility and your eligibility for endorsement, and weigh the routes against each other before any fee is paid, since DOPL refunds fees only in narrow cases.
- Prepare your application package and the board’s addenda, checked against Idaho’s current law and the board’s rules.
- Request and chase every verification at its source: every board that has licensed you, and on the examination route your schools, each training program, and your exam transcripts, through FCVS where you use it.
- Keep the timeline, tracking every verification and your state and FBI fingerprint check until the license issues, since Idaho law lets DOPL terminate an application with no activity for a year.
You do
- Share your credentials and license history once, in our secure portal.
- Approve your application answers and sign the attestations.
- Sign the affidavits the board requires before a notary, with a passport-type color photo.
- Have your fingerprints taken on a fingerprint card by local law enforcement, or at a Livescan location.
- Appear for an interview if the board requires one.
Staying licensed.
- Renewal cycle
- Every two years, on or before your birthday. Since April 1, 2026, DOPL has been moving Board of Medicine licenses from June renewals to two-year licenses that renew on the licensee’s birthday, and the renewal fee is $160 a year, $320 for the two years. A new license runs at least two years, and Idaho law puts the first renewal at least 12 months after the birthday that follows initial licensure. A license not renewed by its expiration is canceled; within five years it can be reinstated with a renewal application, all back renewal fees, the $35 reinstatement fee, and proof of continuing education, and after five years you file a new application. DOPL says a license issued through the compact renews for two years plus the months to your birthday.
- CME
- Before each renewal you attest to one of three: at least 40 hours of practice-relevant CME in the prior two years, which the board’s FAQ says must be Category 1, with education from ACCME-accredited or reciprocating providers or the AOA counted as approved; current board certification from ABMS, the AOA, or the Royal College of Physicians and Surgeons of Canada; or full-time training in a residency or fellowship program at an accredited institution. The board’s rule sets no mandatory topics, and the board may ask for evidence of compliance.
- State controlled-substance registration
- Required. Prescribing or administering controlled substances in Idaho takes a practitioner controlled substance registration from the Idaho Board of Pharmacy as well as a DEA registration: $100 to apply and $100 to renew every two years, the cycle a 2026 law set from July 1, 2026. A separate registration is required at each principal place of practice where you administer or dispense controlled substances.
- Prescription monitoring
- Every prescriber must register with DOPL for online access to Idaho’s prescription drug monitoring program; no fee is published. Before prescribing an opioid analgesic or a benzodiazepine in Schedule II, III, or IV for outpatient use, you or your delegate review the patient’s prescription history for the preceding 12 months and evaluate it for signs of diversion or misuse, except for patients treated as inpatients, at an emergency scene or in an ambulance, in hospice, or in a skilled nursing facility, and for prescriptions meant to last no more than three days.
- DEA registration
- $888 for three years, with a separate registration for Idaho.
- E-prescribing
- Idaho law sets no e-prescribing requirement: it lets a prescription drug order be transmitted as the original signed written prescription or a digital image of it, or electronically, verbally, or by fax.
- Prescribing by virtual care
- Idaho law lets a provider with an established provider-patient relationship prescribe through virtual care within the scope of their license, but a controlled substance only when prescribed in compliance with Title 21 of the U.S. Code.
- Prelitigation panels
- The board’s rule requires every Idaho-licensed physician to be available to serve as a physician panelist reviewing a medical malpractice claim before litigation, in any two-year period or a longer one of up to five years as the panel chairman determines, and the board may refuse to renew the license of a physician who fails to serve.
- Reporting duties
- Report a change of name or address to DOPL immediately and other substantive changes in your professional status within 90 days, and report a felony charge or conviction to the board within 30 days of the charge.
Renewals, CME tracking, and DEA registrations are managed where included in your plan: physician licensing at NP Licensing.
Frequently asked questions
The board publishes no processing time for MD or DO applications, and Idaho law sets no deadline for the board to decide an ordinary application. Idaho law does let DOPL terminate an application with no activity for a year, and it intends licensure by endorsement within 15 business days for service members, veterans, and their spouses who can validate their status and license in that time. If you use FCVS on the examination route, FSMB says a first profile typically takes roughly 35 days. 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.
$480 in Idaho fees by endorsement: the $160 application fee plus $320 for the license’s first two years, at $160 a year. By examination, the exam transcript brings it to $550 for an MD, with FSMB’s $70 USMLE transcript, or $545 for a DO, with NBOME’s $65 COMLEX-USA transcript. First-time Uniform Application users add FSMB’s one-time $60, and the charges for your license verifications and for taking your fingerprints come on top. Through the IMLC, fees are $1,020: $700 to the IMLCC plus $320 for Idaho. Prescribers add Idaho’s $100 controlled substance registration and the DEA’s $888.
Yes. Idaho enacted the Interstate Medical Licensure Compact in 2015, effective July 1, 2015, the board issues licenses through it, and Idaho can be your state of principal license. In IMLCC’s Year 9, April 2025 to March 2026, the board approved 45 Letters of Qualification and issued 565 licenses through the compact. Compact fees come to $1,020, $700 to the IMLCC plus $320 for Idaho, against $480 in Idaho fees by endorsement; 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, if you hold a valid, unrevoked, unsuspended license in another US state, territory, or district or in Canada and have no disciplinary action of any kind. Idaho law makes anyone with a disciplinary action, past, pending, or confidential, by any medical board, licensing authority, medical or professional society, hospital, medical school, or institution staff, anywhere, ineligible for endorsement, and you also show that you can provide the standard of care Idaho physicians provide; the board may require further examination to establish it. Endorsement costs $480 in Idaho fees, and the board’s endorsement checklist, as FSMB hosts it, asks for no school, training, or exam verifications.
FCVS is not; the Uniform Application is, by FSMB’s list and the board’s instructions. FSMB lists the board among those that require its Uniform Application, and the board’s instructions, as FSMB hosts them, call it the licensure application the board requires, though the board’s web pages do not mention it and DOPL does not publish its current online application. First-time users pay FSMB a one-time $60, and a physician who has already paid it for another board pays nothing more. On the examination route the board accepts an FCVS profile without requiring one and recommends it for international graduates: $395 for a first profile or $99 for a later one, USMLE transcripts included, and FSMB says a first profile typically takes roughly 35 days.
Fingerprints yes, a jurisprudence exam no. Idaho law requires a fingerprint-based state and FBI criminal history check of every applicant by endorsement or examination, run through the Idaho State Police, and the board’s fingerprint instructions point you to a local law enforcement office or a Livescan location. Prints with a wrong or blank board identifier or reason field are rejected, and you pay to have them taken again; prints cannot be reused once submitted. Idaho has no jurisprudence exam for physicians. On the compact route, your state of principal license runs the check.
Barely. One board licenses both, at identical fees, on the same endorsement and examination routes, and the IMLCC lists a single Idaho fee. On the examination route, DOs send NBOME’s $65 COMLEX-USA transcript in place of FSMB’s $70 USMLE transcript, and the board’s CME rule counts AOA certification alongside ABMS certification.
Usually yes. Idaho law requires a license from the applicable board before you deliver care by virtual care, which it treats as rendered where the patient is, with narrow exceptions for a provider licensed and in good standing in another state: care for an established patient who is in Idaho temporarily, short-term follow-up care for an established patient, care for an Idaho facility or hospital that has privileged and credentialed you, care in a disaster, care in preparation for a scheduled in-person visit, and consulting with or referring to an Idaho-licensed provider. Exempt providers consent to Idaho law and to the jurisdiction of its courts, DOPL, and the board. Psychiatrists licensed elsewhere can instead hold Idaho’s $35 telehealth registration, which allows no in-person care.
Not on a pending application: the board’s instructions, as FSMB hosts them, say the practice of medicine is not permitted before a license issues. Idaho law lets the board provide by rule for a 120-day temporary license for a physician licensed in another state who has applied for a permanent Idaho license, but the board’s rule sets only a fee cap for it, with no procedure, and its fee table and pages list none. Outside a license, only narrow exemptions apply, such as a consultation an Idaho physician requests or virtual care in the situations Idaho law lists.
Every two years, on or before your birthday, for $320, two years at the $160 annual renewal fee. Since April 1, 2026, a new license runs at least two years and expires on your birthday, and Idaho law puts the first renewal at least 12 months after the birthday that follows initial licensure. Each renewal needs an attestation of 40 hours of practice-relevant CME in the prior two years, current board certification, or full-time residency or fellowship training, and DOPL says a license issued through the compact renews for two years plus the months to your birthday.
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Sources
Idaho State Board of Medicine, home page, fees, and FAQs
Idaho State Board of Medicine, licensing
Idaho State Board of Medicine, statutes, rules, and guidance
Idaho State Board of Medicine, resources and forms
Idaho State Board of Medicine, fingerprint process
Idaho State Board of Medicine, medical school verification
Idaho State Board of Medicine, newsletters
Idaho State Board of Medicine, June 2025 newsletter
Idaho Division of Occupational and Professional Licenses, refund policy
Idaho Division of Occupational and Professional Licenses, fingerprint requirements
Idaho Board of Pharmacy, licensing and registration fees
Idaho Board of Pharmacy, prescriber mandatory checking FAQ
Idaho State Police, fingerprinting
FSMB, Uniform Application instructions for the Idaho State Board of Medicine
Idaho Administrative Code, IDAPA 24.33.01, rules of the Board of Medicine
Idaho Code Title 54, Chapter 18, Medical Practice Act
Idaho Code 54-1811, physician licensure by endorsement
Idaho Code 54-1842, Interstate Medical Licensure Compact
Idaho Code Title 54, Chapter 57, Idaho Virtual Care Access Act
Idaho Code 54-5713, virtual care licensure exemptions
Idaho Code Title 54, Chapter 17, Idaho Pharmacy Act
Idaho Code Title 67, Chapter 26, Division of Occupational and Professional Licenses
Idaho Code 67-2614, renewal or reinstatement of licenses
Idaho Code Title 67, Chapter 94, Occupational Licensing Reform Act
Idaho Code 37-2716, controlled substance registration
Idaho Code Title 37, Chapter 27, Uniform Controlled Substances Act
Idaho Legislature, 2015 House Bill 150, Interstate Medical Licensure Compact
Idaho Legislature, 2026 House Bill 777, uniform controlled substances
Interstate Medical Licensure Compact Commission, what it costs
Interstate Medical Licensure Compact Commission, participating states
Interstate Medical Licensure Compact Commission, information for physicians
Interstate Medical Licensure Compact Commission, FAQs
Interstate Medical Licensure Compact Commission, Year 9 data study
FSMB, FCVS participating boards for physicians
FSMB, Uniform Application participating boards
FSMB, Uniform Application fees and process
NBOME, frequently asked questions and transcript fee
DEA, practitioner registration fee, 21 CFR 1301.13
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This guide is informational only, not legal advice. Fees and timelines change; the verified date and sources are on this page.
