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State Medical Board

Applications & Forms

Fee Changes

Effective August 30, 2018, fees for the medical licensing program have changed, as follows:

Physician Licensing

  • Initial License
    $400 nonrefundable application fee
    $425 license fee
    $825 total
  • Locum tenens
    $150 nonrefundable application fee
    $150 license fee
    $300 total
  • Courtesy license
    $100 nonrefundable application fee
    $150 license fee
    $250 total
  • Resident permit
    nonrefundable application and permit fee
    $100 total

Physician Assistant Licensing

  • Initial License
    $200 nonrefundable application fee
    $250 license fee
    $75 temporary permit fee
    $125 collaborative plan fee
    $650 total

Mobile Intensive Care Paramedic (MICP) Licensing

  • Initial License
    $100 nonrefundable application fee
    $75 license fee
    $75 temporary permit fee
    $250 total
Initial Applications Renewal Applications Miscellaneous Forms

Licensing Staff Contact Information

Physicians whose last name begins with the letters A through I and Physician Assistants may contact:
Licensing Examiner: Jason Kaeser
Phone: (907) 465-2781
Email: jason.kaeser@alaska.gov

Physicians whose last name begins with the letters J through N may contact:
Licensing Examiner: Steven Alvarado
Phone: (907) 465-1077
Email: steven.alvarado@alaska.gov

Physicians whose last name begins with the letters O through Z and Paramedics may contact:
Licensing Examiner: Olena Ziuba
Phone: (907) 465-2566
Email: olena.ziuba@alaska.gov

Medical licensing general contact:
Phone: (907) 269-8163
Email: medicalboard@alaska.gov