Eligibility for Permanent Licensure
A permanent license allows an M.D. or D.O. to practice medicine and surgery in Iowa. Eligibility requirements are found in Chapter 9.3.
- Be at least 21 years of age;
- Hold a medical degree from an educational institution accredited by the LCME or the AOA;
- If the applicant does not hold a medical degree from an institution approved by the board, the applicant shall meet one of the following requirements:
- Hold a valid certificate issued by the ECFMG;
- Have successfully completed a fifth pathway program established in accordance with AMA criteria;
- Have successfully passed either a basic science examination administered by a U.S. or Canadian medical licensing authority or SPEX, and have successfully completed three years of postgraduate training in a program approved by the board, and submitted evidence of five years of active practice without restriction as a licensee of any U.S. or Canadian jurisdiction; or
- Have successfully passed either a basic science examination administered by a U.S. or Canadian medical licensing authority or SPEX and hold board certification by a specialty board approved by ABMS or the AOA, and submit evidence of five years of active practice without restriction as a licensee of any U.S. or Canadian jurisdiction.
- Have successfully completed one year of postgraduate training in a hospital-affiliated program accredited by the ACGME, AOA, Royal College of Physicians and Surgeons of Canada, and the College of Family Physicians of Canada. A graduate of an international medical school shall have successfully completed 24 months of such training.
- Have passed one of the multi-part licensure examinations:
Expedited EndorsementExpedited endorsement is a process where the board can issue a license based on the acceptance of an applicant’s core credentials that have been primary source verified by another jurisdiction’s licensing board. Core credentials are those documents that demonstrate the applicant’s identity, medical training and practice history. This includes but is not limited to the certification of medical education, medical school diploma, medical school transcript, dean’s letter, examination history, ECFMG certificate, fifth pathway certificate, and post-graduate training verification.
Applicants who meet the eligibility requirements for permanent licensure may qualify for expedited endorsement if they meet all of the following requirements:
- Hold at least one permanent U.S. state/jurisdiction or Canadian medical license
- Hold an unrestricted license in every jurisdiction in which the applicant is licensed
- Have no formal disciplinary actions or active or pending investigations by a board, licensing authority, medical society, professional society, hospital, medical school, federal agency, or institution staff sanctions in any state, country or jurisdiction
- Hold current specialty board certification by an ABMS or AOA specialty board - lifetime certification is excluded
- Have been in continuous active practice during the past five years - time spent in post-graduate training is not considered continuous active practice
Applicants who meet these criteria are not required to submit the certification of medical education, medical education transcript, copy of diploma, verification of post-graduate training or ECFMG Status Report in the application process.
Military Service & Veteran Reciprocity
Current military service or veteran applicants who do not meet the eligibility requirements for permanent licensure outlined above may request credit toward any experience or educational requirement for licensure based on military education, training, or service obtained or completed in military service. Credit for military service may not be applied to an examination requirement. Veteran applicants who hold an unrestricted professional license in another jurisdiction may be eligible for licensure through reciprocity.
To request credit of experience or educational requirement, submit the Military Service Application to the Iowa Board of Medicine for consideration.
"Military service" means honorably serving on federal active duty, state active duty, or national guard duty as defined in Iowa Code section 29A.1; in the military services of other states as provided in 10 U.S.C. section 101(c); or the organized reserves of the United States as provided in 10 U.S.C.
"Veteran" means an individual who meets the definition of "Veteran" in Iowa Code section 35.1(2)
Important Information Regarding USMLE and COMLEX
Applicants who have taken more than ten years to complete all three steps of the USMLE or COMLEX and are not specialty board certified by a member board of the American Board of Medical Specialties or American Osteopathic Specialty Boards, should contact the Director of Licensure, at 515-281-6492. Applicants in this situation do not meet the licensure requirements and will need to request a waiver to administrative rule 653 IAC-9.4(2)e(1). Discussion with a staff person prior to applying may assist in determining whether to submit an application to the Board.
Click here to check the fee for a permanent license application.
How to Apply
Click here for more information on the application process.
Permanent License Application Cycle
If the applicant does not submit all materials, including a completed fingerprint packet, within 90 days of the board office's initial documented request for further information, the application shall be considered inactive. The board office shall notify the applicant of this change in status.
To reactivate the application, an applicant shall submit a non-refundable reactivation fee, and update credentials. If the reactivation fee is not received within 90 days from the date the applicant was notified of the inactivation, the application will be withdrawn.
An applicant whose application was withdrawn must reapply and submit a new non-refundable application fee, a new application, documents and credentials.