State |
Step 3 Attempts |
USMLE 7 Year Rule |
ABMS/SPEX/10-Year Rule |
Initial Licensing Fee ($) |
Continuing Edu Req (Crd.) |
License Renewal Fee ($) |
Alabama | 3 (10 total attempts) | 7 or 10 (MD/PhD) | No | 175 | 25 per year | 171 |
Alaska | 2 attempts per step | 7 or 10 (MD/PhD) | No | 200 | 50 | 600 |
Arizona | No | None if licensed, 7 if first license | Yes (Exempt if Board Certified) | 500 | 40 | 350 |
Arkansas | 3 per step | No Time Limit | No | 500 | 20 Per Year | 200 |
California | 4 | 10 | Yes (Exempt if NBME or ABMS) | 808 | 50 | 820 |
Colorado | No | 7 or 10 (MD/PhD) | No | 412 | 25 per year | 412 |
Connecticut | No | None | No | 565 | 50 | 565 |
Delaware | 6 Per Step | 7+ | No | 375 | 40 | 375 |
District of Columbia | 3+ per step | 7 | No | 805 | 50 | 805 |
Florida | No | No | No | 350 | 40 | 350 |
Georgia | 3 per step | 7 or 9 (MD/PhD) | No | 500 | 40 | 250 |
Hawaii | None | None | No | 300 | 40 | 300 |
Idaho | 2+ per step | No | None | 200 | 40 | 200 |
Illinois | 5 total attempts | 7 | No | 500 | 150 | 500 |
Indiana | 3 per step | 10 | No | 250 | 50 | 200 |
Iowa | 6 (Step 1 & 2), 3 (Step 3) | 10 (no limit if Board Certified) | No | 505 | 40 | 505 |
Kansas | 3 per step | 10 | No | 300 | 50 | 300 |
Kentucky | 4 Per Step | None | No | $300 | 60 | $300 |
Louisiana | 4 (Step 2 & 3) | 10 | Yes | $382 | 20 per year | $382 |
Maine | 3 per step (waiver required if more) | 7 | N/A | $600 | 100 | $600 |
Maryland | None | None | Yes (Exempt if Board Certified) | $790 | 50 | $486 |
Massachusetts | 3+ per step | 7+ | None | $600 | 100 | $600 |
Michigan | 3 per step | No Year Limit | No | $308 | 150 | $308 |
Minnesota | 3 (if not licensed), 4 (if licensed and board certified) | Step 3 must be passed within 5 years of Step 2 or before end of residency | Yes | $392 | 75 | $392 |
Mississippi | 3 per step | 7 | Yes | $550 | 40 | $550 |
Missouri | 3 per step | 7 | No | $75 | 50 | $100 |
Montana | 6 Per Step | None | No | $500 | 100 | $500 |
Nebraska | 4 (Step 2 & 3) | 10 | No | $300 | 50 | $300 |
Nevada | 9 total (all steps), 3 (Step 3) | 7 or 10 (MD/PhD) | Yes | $1,425 | 40 | $750 |
New Hampshire | 3 per step | None | No | $300 | 100 | $300 |
New Jersey | 3 per step | 7 | No | $325 | 100 | $500 |
New Mexico | 3 per step | 7 or 10 (MD/PhD) | Yes | $400 | 75 | $400 |
New York | No Limit | No Limit | No | $735 | 50 | $600 |
North Carolina | No Limit | No Limit | Yes | $400 | 60 | $400 |
North Dakota | 3 per step | 7 | No | $200 | 60 | $200 |
Ohio | 3 per step | 7 or 10 (MD/PhD) | Yes | $305 | 50 | $305 |
Oklahoma | 3 per step | 7 or 10 (MD/PhD) | No | $500 | 60 | $500 |
Oregon | No limit | No limit | No | $550 | 60 | $550 |
Pennsylvania | 3 per step | 7 or 10 (MD/PhD) | No | $605 | 100 | $605 |
Rhode Island | 3 per step | 7 | No | $920 | 40 | $920 |
South Carolina | 3 per step | 7 | No | $580 | 40 | $580 |
South Dakota | 3 per step | 7 | No | $200 | 60 | $200 |
Tennessee | 3 per step | 7 or 10 (MD/PhD) | No | $510 | 40 | $510 |
Texas | 3 per step | 7 | Yes | $817 | 48 | $817 |
Utah | 3 per step | 7 | No | $200 | 40 | $200 |
Vermont | 3 per step | 7 | No | $650 | 50 | $650 |
Virginia | 3 per step | 7 | No | $302 | 60 | $302 |
Washington | 3 per step | 7 or 10 (MD/PhD) | Yes | $491 | 200 | $491 |
West Virginia | 3 per step | 7 | No | $400 | 50 | $400 |
Wisconsin | 3 per step | 7 | No | $75 | 30 | $75 |
Wyoming | 3 per step | 7 | No | $600 | 60 | $600 |