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Cari Fais
Director
Read Bio

Downtown Newark,NJ

State Board of Medical Examiners

Applications and Forms

Phases and Timelines

Licensing and the Application Process

Applications

Application for Licensure by the State Board of Medical Examiners of New Jersey (Online Application)

Application for Podiatry Licensure by the State Board of Medical Examiners of New Jersey (Online Application)

Application for Doctor of Osteopathy by the State Board of Medical Examiners of New Jersey (Online Application)

Application for Bioanalytical Lab Director (Online Application)

Application for Resident Permit (Online Application)

Application for an Extension for Not More than 60 Days

Reinstatement

Please request a reinstatement application by emailing BMEReinstatement@dca.njoag.gov

Forms

Verification of Postgraduate Training Form

Verification of Privileges Affiliation Employment Appointment Form

Verification of State License Examination Form

Malpractice Insurance Verification Form

Podiatry Education Verification Form

Podiatry Verification of Postgraduate Training Form

Podiatry Verification of Privileges/Affiliation/Employment/Appointments Form

Podiatrist Malpractice Insurance Verification Form

Bio-analytical Lab Director Employment Verification Form

Medical Education Verification Form (Permit-MEV)

Last Modified: 6/13/2024 10:21 AM

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