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State Medical Board

Applications & Forms

Emergency Courtesy License:

Due to the COVID-19 emergency declared by the governor, the State Medical Board has adopted regulations to allow for an Emergency Courtesy License.

Extensions:

Emergency Courtesy Licenses are issued for six months and may be extended for one additional six-month period if the board has determined the urgent situation still exists. Use one of the following forms to request an extension of your Emergency Courtesy License.

Initial Applications Renewal Applications Miscellaneous Forms

Licensing Staff Contact Information

Physicians whose last name begins with the letters A through I, O through R 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 T and Paramedics may contact:
Licensing Examiner: Jacob Olsen
Phone: (907) 465-2566
Email: jacob.olsen@alaska.gov

Physicians whose last name begins with the letters U through Z may contact:
Natalie Norberg
Phone: (907) 465-6243
Email: natalie.norberg@alaska.gov

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