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State Medical Board


Initial Applications


Renewal Applications

Supervising physician signature forms required for renewals:


Miscellaneous Forms


Licensing Staff Contact Information

    Physicians (MD, DO, DPM, and Paramedics (MICP)):

    • If your last name begins with the letters A through I, you may contact:
      Licensing Examiner: Deb Tempel
      Phone: (907) 465-2756
      Email: deb.tempel@alaska.gov
    • If your last name begins with the letters J through Q, you may contact:
      Licensing Examiner: Tracy Wiard
      Phone: (907) 465-2541
      Email: tracy.wiard@alaska.gov
    • If your last name begins with the letters R through Z, you may contact:
      Licensing Examiner: Olena Ziuba
      Phone: (907) 465-2566
      Email: olena.ziuba@alaska.gov

    Physician Assistants: