State Licensure
Certifications for state licensure must complete our online Registrar Request Form and select the "Licensure" form request.
Procedure for Licensing
- Submit the form from the state you are requesting licensure.
- Be sure that your name is noted on the form.
- To find licensure forms, go to the website of the state board where you are requesting
licensure and search for the board's “verification of medical education form."
- If a transcript is required to be submitted with the form, please also complete our
online Registrar Request Form and select "Transcripts."
- Attach any instructions that the state provides.
- Email your documents to licensure@pcom.edu.
- Be sure to include your phone number in the email.