State Licensing Boards references and requirments

State Board	USMLE Attempt Limit	Time Limit	US/Canadian Postgraduate Training Reqs	Foreign Postgraduate Training Reqs	SPEX exam required?
Alabama	No attempt limit on step I or II, Three (3) attempts on step III	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years for MD/PhD	One Year	Three Years	YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years
Alaska	Two (2) attempts per step	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	Two years, one year if completed before 01/01/95	Three years	NO
Arizona	No attempt limit	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step, unless 1st licensed by a state that doesn’t have a 7 year limit	One year	Three years	NO
Arizona DO	N/A	No limits on NBOME	One year	N/A	YES; unless lifetime certified, board certified or re-certified by a specialty or sub-specialty in the last 7 years
Arkansas	Six (6) attempts per step	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	One year	Three years, One year if enrolled at U of Arkansas	NO
Arkansas	Six (6) attempts per step	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	One year	Three years, One year if enrolled at U of Arkansas	NO
California	No attempt limit on steps I and II, Four (4) attempts on step III	Must complete USMLE Steps I, II, and III within ten (10) years of passing the first step	One year, including 4 mos. General Med.	Two years, including 4 mos. General Med.	NO
California DO	N/A	No limits on NBOME	One year	N/A	NO
Colorado	No attempt limit	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhD	One year	Three years	NO
Connecticut	No attempt limit	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	Two years	Two years	NO
Delaware	No attempt limit	No time limit	One year	Three years	NO
District of Columbia	No attempt limit per steps I and II. Additional year of PGT required if four (4)failed attempts on step III.	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	One year	Three years	NO
Florida	No attempt limit	No time limit	One year	Two years	NO
Florida DO	N/A	No limits on NBOME	One year	N/A	NO
Georgia	No attempt limit on steps I and II, Three (3) attempts on step III	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Nine (9) if MD/PhD	One year	One year if graduated before July 1985, Three years if after	NO
Hawaii	No attempt limit	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) if MD/PhD	One year	Two years	NO
Hawaii DO	N/A	No limits on NBOME	One year	N/A	NO
Idaho	Two (2) attempts per step	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhD	One year	Three years	NO
Illinois	No more than five (5) failed attempts	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	Two years, One year if completed before 1988	Two years, One year if completed before 1988	NO
Indiana	Three (3) attempts per step	Must complete USMLE Steps I, II, and III within seven (10) years of passing the first step	One year	Two years	NO
Iowa	Six (6) attempts per steps I and II. Three (3) attempts on step III.	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years for MD/PhD	One year	Two years	NO
Kansas	No attempt limit on steps I and II, Three (3) attempts on step III	Must complete USMLE Steps 1, 2, and 3 within ten (10) years of passing the first step	One year	Two years	NO
Kentucky	Four (4) attempts per step	No time limit	Two years	Two years	NO
Louisiana	No attempt limit on step I. Four (4) attempts per steps II and III.	Must complete USMLE Steps 1, 2, and 3 within ten (10) years of passing the first step	One year	Three years	YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years
Maine	No attempt limit per steps I and II. Three (3) attempts on step III	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	Two years; Three years if graduated after 7/2004	Three years	NO
Maine DO	N/A	No limits on NBOME	One year	N/A	NO
Maryland	Three (3) attempts per step.	Must complete USMLE Steps 1, 2, and 3 within ten (10) years of passing the first step	One year; Two if any USMLE step failed 3 times	Two years	YES; unless lifetime certified, board certified, or re-certified by a specialty or sub-specialty in the last 10 years, or passed a licensing exam in the last 15 years
Massachusetts	No attempt limit per steps I and II. Six (6) attempts on step III	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	One year	Two years	NO
Michigan	No attempt limit	No time limit per steps I and II; Must complete step III within five (5) years of first attempt on step III	Two years	Two years, three if completed before 1984	NO
Minnesota	Three (3) attempts per step; four (4) attempts step III if Board Certified	No time limit per steps I and II; Must complete step III within five (5) years of passing step II	One year	Two years	YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years
Mississippi	No attempt limit per steps I and II. Three (3) attempts on step III	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	One year	Three years; One year if Board Certified	YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years
Missouri	Three (3) attempts per step	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	One year	Three years	NO
Montana	No attempt limit per steps I and II. Three (3) attempts on step III	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	Two years	Three years	NO
Nebraska	Four (4) attempts per step	Must complete USMLE Steps I, II, and III within ten (10) years of passing the first step	One year	Three years	NO
Nevada	No attempt limit per steps I and II. Three (3) attempts on step III	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhD	Three years	Three years	YES; unless lifetime certified, board certified, or re-certified by a specialty or sub-specialty in the last 10 years
Nevada DO	N/A	No limit on NBOME	Three years, one year graduated before 01/01/95	N/A	YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years
New Hampshire	Three (3) attempts per step	No time limit	Two years	Two years	NO
New Jersey	No attempt limit per steps I and II. Five (5) attempts on step III.	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step (Waiver can be requested)	Three years, one if graduated before 07/01/03	Three years, one year if graduated before 07/01/85	NO
New Mexico	Six (6) attempts per step	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhD	Two years	Two years	NO
New Mexico DO	N/A	No limits on NBOME	Two years	N/A	NO
New York	No attempt limit	No time Limit	One year	Three years	Yes, if State Board Exam was taken before 1968
North Carolina	Sic (6) attempts per step	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhD	One year	Three years	YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years, PR award accepted
North Dakota	Three (3) attempts per step	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	One year	Three years	NO
Ohio	Four (4) attempts per step	Must complete USMLE Steps I, II, and III within ten (10) years of passing the first step	One year	Two years	NO
Oklahoma	Three (3) attempts per step	Must complete USMLE Steps I, II, and III within ten (10) years of passing the first step	One year	Two years	NO
Oklahoma DO	N/A	No limits on NBOME	One year	N/A	NO
Oregon	No attempt limit per steps I and II. Four (4) attempts on step III	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhD	One year	One year, three years if med school is non-approved	YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years, or if state board exam was taken before 1968
Pennsylvania	No attempt limit	No Limit	Two years, One year if completed before 7/87	Three years, One year if completed before 7/87	NO
Pennsylvania DO	N/A	No limits on NBOME	One year	N/A	NO
Puerto Rico	No attempt limit	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	One year	One year	NO
Rhode Island	Three (3) attempts per step	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	Two years	Three years	NO
South Carolina	Three (3) attempts per step	Must complete USMLE Steps I, II, and III within ten (10) years of passing the first step	One year	Three years	YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years, will waive exam if 150 CME hours in last 3 years
South Dakota	Three (3) attempts per step.	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhD	Completion of Residency Program	Completion of Residency Program, one year if done before 7/1987	NO
Tennessee	No attempt limit	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step	One year	Three years	NO
Tennessee DO	N/A	No limits on NBOME	One year	N/A	NO
Texas	Three (3) attempts per step.	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years for MD/PhD	One year	Three years	YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years
Utah	Three (3) attempts per step	Must complete USMLE Steps 1, 2, and 3 within seven (7) years of passing the first step; 10 years for MD/PhD	Two years	Two years	Only for DO’s unless board certified or re-certified by a specialty or sub-specialty in the last 10 years
Vermont	No attempt limit per steps I and II. Three (3) attempts on step III	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; Ten (10) years if MD/PhD	One year	Three years	NO
Vermont DO	N/A	No limits on NBOME	One year	N/A	NO
Virginia	No attempt limit	Must complete USMLE Steps I, II, and III within ten (10) years of passing the first step (exception)	One year	Two years	NO
Virginia DO	N/A	No limits on NBOME	One year	N/A	NO
Washington	No attempt limit per steps I and II. Three (3) attempts on step III	Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; ten (10) years for MD/PhD	Two years, One if graduated before 07/28/85	Two years, One if graduated before 07/28/85	NO
Washington DO	N/A	No limits on NBOME	One year	N/A	NO
West Virginia	Three (3) attempts per step	Must complete USMLE Steps I, II, and III within ten (10) years of passing the first step	One year	Three years; one year if board certified	NO
West Virginia DO	N/A	No limits on NBOME	One year	N/A	NO
Wisconsin	Three (3) attempts per step	Must complete USMLE Steps I, II, and III within ten (10) years of passing the first step; twelve (12) years if MD/PhD	One year	One year	NO
Wyoming	No attempt limit	No Time Limit	One year	One year	NO