MSBML issues three types of medical and osteopathic physician licenses. Review the license types below to find the one that matches your situation, then apply through the Mississippi Enforcement and Licensure System (MELS).
Jump to: Permanent Licensure | Administrative Licensure | Temporary Licensure
Permanent Licensure
A permanent license entitles the physician to practice medicine within the state of Mississippi.
Fee: $550, payable after submission of the online application.
License validity: Valid until June 30 of the current renewal year. If issued after April 1, valid until June 30 of the following year.
Renewal: Annually.
How to Apply
All applications are submitted online through MELS (Mississippi Enforcement and Licensure System). First-time users must register and create a username and password.
Do not send forms to MSBML before submitting your online application.
Required Forms — Permanent
- Application Instructions (PDF)
- Affidavit and Release Form (PDF)
- Appendix A — Medical/Osteopathic School Certification (PDF)
- Appendix B — Post-Graduate Training Certification (PDF)
- Appendix C — Activity Certification (PDF)
- Appendix D — State Medical Board Licensure Certification (PDF)
- Appendix E — Staff Membership Certification (PDF)
- Appendix F — Fifth Pathway Certification (PDF)
- Notary Guidelines and Form (PDF)
- Photograph Guidelines (PDF)
- Fingerprinting Guidelines (PDF)
If you need any of these documents in an alternative accessible format, contact MSBML at communications@msbml.ms.gov.
Renewing a Permanent License
Permanent licenses must be renewed annually.
If you need any of these documents in an alternative accessible format, contact MSBML at communications@msbml.ms.gov.
Administrative Licensure
An administrative medical license allows the licensee to engage in professional, managerial, or administrative activities related to the practice of medicine or the delivery of health care services. It does not permit the practice of clinical medicine or medical research.
Applicants must provide a notarized statement confirming they will not provide medical or clinical services to patients while holding an administrative medical license.
Fee: $550, payable after submission of the online application.
License validity: Valid until June 30 of the current renewal year. If issued after April 1, valid until June 30 of the following year.
Renewal: Annually.
How to Apply
All applications are submitted online through MELS (Mississippi Enforcement and Licensure System). First-time users must register and create a username and password.
Do not send forms to MSBML before submitting your online application.
Required Forms — Administrative
- Application Instructions (PDF)
- Affidavit and Release Form (PDF)
- Administrative Statement (PDF)
- Appendix A — Medical/Osteopathic School Certification (PDF)
- Appendix B — Post-Graduate Training Certification (PDF)
- Appendix C — Activity Certification (PDF)
- Appendix D — State Medical Board Licensure Certification (PDF)
- Appendix E — Staff Membership Certification (PDF)
- Appendix F — Fifth Pathway Certification (PDF)
- Notary Guidelines and Form (PDF)
- Photograph Guidelines (PDF)
- Fingerprinting Guidelines (PDF)
If you need any of these documents in an alternative accessible format, contact MSBML at communications@msbml.ms.gov.
Renewing an Administrative License
Administrative licenses must be renewed annually.
If you need any of these documents in an alternative accessible format, contact MSBML at communications@msbml.ms.gov.
Temporary Licensure
A restricted temporary license entitles the physician to practice medicine only within the confines of an ACGME- or AOA-approved postgraduate training program in Mississippi.
Applications cannot be submitted until three (3) months prior to the applicant's postgraduate training program start date.
Fee: $50, payable at the completion of the application process.
License validity: If issued after April 1, valid until June 30 of the following year.
How to Apply
All applications are submitted online through MELS (Mississippi Enforcement and Licensure System). First-time users must register and create a username and password.
Do not send forms to MSBML before submitting your online application.
Required Forms — Temporary
- Application Instructions (PDF)
- Affidavit and Release Form (PDF)
- Appendix A — Medical/Osteopathic School Certification (PDF)
- Appendix B — Post-Graduate Training Certification (PDF)
- Appendix C — Activity Certification (PDF)
- Appendix D — State Medical Board Licensure Certification (PDF)
- Appendix E — Staff Membership Certification (PDF)
- Appendix F — Fifth Pathway Certification (PDF)
- Notary Guidelines and Form (PDF)
- Photograph Guidelines (PDF)
If you need any of these documents in an alternative accessible format, contact MSBML at communications@msbml.ms.gov.