Physician License Renewal

What you will need to renew your license:
  • Online renewal applications must be completed by 11:59pm Mountain Time on June 30, 2021. Applications processed after June 30, 2021 will be subject to a late fee.
  • Fees are payable via Visa or MasterCard only.
  • Your date of birth (mm/dd/yyyy), the last four digits of your social security number (xxxx), and your license number (this is printed on your wallet card) are required to log into the system.
  • Also, you may be required to submit additional information to the Board.
Please enter your information below to begin the application:

Date of Birth

Last 4 Digits of SSN

License Number