Ohio physician licensing.

About 27 days on average in fiscal 2026, by the board’s count, with a median of 9, from a paid application to the license across MD, DO, and podiatric physician licenses issued outside the compact. Licenses it issued through the compact took an average of 4.5 days. By law the board must decide a complete reciprocity file within 60 days and finish investigating a complete traditional file within 90, and 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.

$756 in published fees on the traditional route: the $305 application fee, a $3.50 transaction fee, a $395 FCVS profile with its $3.50 NPDB report, and $49 for the state and FBI checks, or $460 if you already have an FCVS profile to update. Reciprocity costs $357.50 if the board asks for no FCVS profile, and the IMLC $1,008.50: $700 to the IMLCC plus $308.50 for Ohio. The fingerprinting agency’s charge and any verifications board staff request come on top.

Yes. Ohio enacted the Interstate Medical Licensure Compact in 2021, has issued licenses through it since August 2, 2022, and can be your state of principal license. In fiscal 2026, July 2025 to June 2026, the board issued 1,838 licenses through the compact and 820 Letters of Qualification as a state of principal license.

Yes, if you have held a physician license in another state for at least a year immediately before applying, practiced under it in at least one of the last five years, and are in good standing everywhere you are licensed; the law lets the board waive the year and the practice condition. The board’s reciprocity page lists only the application, at the same $305 fee as the traditional route, and a background check, and Ohio law requires a written decision within 60 days of a complete file.

Reciprocity, in published fees: $357.50 if the board asks for no FCVS profile, against $756 on the traditional route and $1,008.50 through the compact. The compact can still make sense if you meet its terms and are adding several member states, since the IMLCC’s $700 covers one application and each state adds its own fee; adding Ohio to a Letter of Qualification still within its 365 days costs $408.50.

No. One board licenses both under the same statute, through the same application and the same $305 fee, and the IMLCC lists a single Ohio fee. The differences are your school’s accreditor, LCME or AOA, and your exam sequence: all USMLE steps or all COMLEX-USA levels, never a mix.

Yes, with narrow exceptions. Ohio has no out-of-state telehealth registration, and its telehealth rule covers care by professionals licensed in Ohio; the exemptions include occasional or unpaid consultation with an Ohio physician who has an established relationship with the patient, and follow-up care within a year for the same condition. A first Schedule II prescription to a new patient also generally needs an in-person exam.

Fingerprints yes, jurisprudence exam no. Every direct applicant passes Ohio BCI and FBI checks, with results sent from BCI straight to the board: electronic prints taken in Ohio take about 2 weeks, at a price the location sets, and ink cards mailed from out of state about 4 weeks, at $22 and $27 plus the charge for rolling them. On the compact route, your state of principal license runs the check unless that is Ohio.

Yes, on the traditional route: Ohio’s rule requires an FCVS profile, at $395 for a first one or $99 to update one you have. The expedited route for Canadian licensees needs none, and the board’s reciprocity page lists no FCVS step, though the rule’s wording leaves open whether reciprocity applicants are exempt.

Only with a current Canadian provincial license. Physicians licensed in another US state have been routed to reciprocity since December 29, 2023; the expedited route costs a nonrefundable $1,003.50 and needs no FCVS profile, because board staff gather your reports themselves.