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State Medical Board

Applications & Forms

Initial Applications

Review the FAQs page for important information about applying for licensure and practicing in the State of Alaska.

Physician (MD, DO, DPM)
Physician Assistant
Renewal Applications

Renewal applications will be available no later than November 30th, 2024, in accordance with AS 08.01.050. Please note, you must wait for an updated renewal application to renew your license. You cannot renew your license using any prior renewal forms. If you need to renew your license for the current licensing period (expired on 12/31/2022), email medicalboard@Alaska.Gov to request the appropriate form. To ensure receipt of renewal notifications and other correspondence from our office, please go to MY LICENSE and confirm your current mailing address is on file.

Subscribe to Alaska State Medical Board electronic mailing ⁠list to receive notification when renewals become available.

Review the FAQ Page for important information about CME requirements for renewals, including the legislative requirement for education in pain management and opioid use and addiction.

Miscellaneous Forms

Division forms may be found in the CBPL Quick links, located in the sidebar to the right.

Licensing Staff Contact Information

Physicians and Physician Assistants whose last name begins with the letters A through I may contact:
Licensing Examiner: Alisa Perkins
Phone: (907) 465-1077
Email: alisa.perkins@alaska.gov

Physicians and Physician Assistants whose last name begins with the letters J through Q may contact:
Licensing Examiner: Jacob Olsen
Phone: (907) 465-2566
Email: jacob.olsen@alaska.gov

Physicians and Physician Assistants whose last name begins with the letters R through Z may contact:
Licensing Examiner: Roger Casquejo
Phone: (907) 465-6278
Email: roger.casquejo@alaska.gov

Medical licensing general contact:
Email: medicalboard@alaska.gov