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PHYSICIAN LICENSURE INFORMATION PACKET …

ARKANSAS STATE MEDICAL BOARD. LICENSURE DEPARTMENT. 1401 W. Capitol Ave., Suite 340, Little Rock, AR 72201. Phone (501) 296-1802 Fax (501) 296-1972 Emails with attachments must be sent in PDF format to PHYSICIAN LICENSURE INFORMATION PACKET . Medical LICENSURE & centralized Credentials Verification Service This PACKET contains all of the documents you will need to apply for a permanent license to practice medicine or osteopathy in Arkansas. This PACKET and each of its components are available on our web site, If you received this PACKET from a source other than directly from the Arkansas State Medical Board or its official website, the application may be outdated or not an official version. Please be advised that outdated or unofficial versions of the application will not be accepted. ** IMPORTANT INFORMATION - PLEASE READ CAREFULLY **. ABANDONED APPLICATIONS. Applications which are not complete after twelve (12) months will be classified as Abandoned and will be removed from our system.

MD/DO Important Information: Rev. 12/2017 Page 1 of 12 . PHYSICIAN LICENSURE INFORMATION PACKET Medical Licensure & Centralized Credentials …

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