International Physicians - USA Licensing without the ECFMG

There are only 2 States which will allow an International Physician to license in the USA without an ECFMG Certificate. They are as follows:

California Medical Board
West Virginia Medical Board

All Physicians must have taken an approved examination in order to license. (i.e. USMLE, NBME, FLEX, LMCC, NBOME)

Nevada Medical Board - Licensing by Endorsement

The Nevada Medical Board is one of the few State Medical Boards which allows Physicians who are only licensed in Puerto Rico to license by Endorsement. The licensure process is contingent upon two issues. One that they are a graduate of a Domestic Medical School. Two that they are Board Certified. If the physician is not a Domestic Graduate, then an ECFMG Certificate will be required.

The Endorsement Process is typically utilized by Physician who have not passed a licensure examination within the past 10 years.