Article
Section
Applications for Licensure
- Instructions and Application for MD/DO License
- Instructions and Application for a Residency Permit
- Instructions and Application for a Teaching Permit
- Instructions and Application for a Fellowship Permit
- Instructions and Application for Non-Renewable Limited Scope Temp Med Permit
- Application and Instructions for a Controlled Substance Registration (CSR)
- State Verification Form
- Criminal Background Check Information
- Instructions and Application for Registering Under the Professional Corporation Act
If you have previously held a license in Indiana please contact our office for instructions on what you need to do to activate that license. Email pla3@pla.in.gov phone (317) 234-2060