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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

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 F 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 G through N 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 O 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