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Board of Medicine Address
  Commonwealth of Massachusetts
  Board of Registration in Medicine
  200 Harvard Mill Square, Suite 330
  Wakefield, MA 01880
  (781) 876-8200
  (781) 876-8395 (TTY)
  Hours M-F; 8:45 a.m. to 5:00 p.m.

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Home > Physician Information > Temporary License Kits

Downloadable Application
Kits for
Temporary License

There are four categories of temporary licensure:

  • A temporary faculty license is for a physician with a faculty appointment at a medical school in Massachusetts which is affiliated with a hospital, primarily for teaching.


  • A temporary license for physician coverage (locum tenens) which allows a physician to substitute for another physician for a period of up to three months.


  • A temporary CME license is for a physician to attend a course of medical education in Massachusetts.


  • A short term faculty license is for a physician who has a short term faculty appointment at a medical school in Massachusetts which is affiliated with a hospital for a period of 30 days.
  • Temporary License Links

    Temporary License Application Kit Adobe Acrobat Document
    Application Instructions Adobe Acrobat Document
    Application Checklist Adobe Acrobat Document
    Initial Temporary Application Adobe Acrobat Document
    Temporary Supplement Adobe Acrobat Document
    Medicare Tax Form Adobe Acrobat Document
    Authorization for Release Adobe Acrobat Document
    Medical Education Verification Adobe Acrobat Document
    Temporary Evaluation Adobe Acrobat Document
    State License Verification Adobe Acrobat Document
    Malpractice History Adobe Acrobat Document
    Temporary AMA Profile Adobe Acrobat Document
    Temporary National Practitioners Databank (NPDB) Adobe Acrobat Document

    A physician applying for a temporary faculty license or a temporary CME license must hold a full license in another state or territory or in the District of Columbia or in another country. A physician applying for a temporary license for physician coverage must hold a full license in another state or territory. A temporary license is not an interim license while a full license is in process or for participating in residency or fellowship training. For a description of license requirements and fees, see Licensing Fees and General Information.

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