[ DATA ]License renewal requirements
Osteopathic physicians (DO) license renewal by state
How often a DO license renews, when it's due, what it costs and how much CME the board asks for, in 51 US jurisdictions. Of these, 35 every 2 years, 13 every year, 3 every 3 years. Every row comes from the board's own published pages, with a source link and the date we checked it.
Checked between October 3, 2026 and November 10, 2026. Boards change fees and rules; confirm with the board before renewing.
| State | Renews | Deadline | Renewal fee | CME | Source |
|---|---|---|---|---|---|
| Alabama Alabama Board of Medical Examiners and Medical Licensure Commission of Alabama | Every year | December 31 each year; renewal opens October 1 in the Licensee Gateway (IMLCC-issued licenses renew on the IMLCC website from October 2). Grace period January 1-31 for MD/DO licenses with a late fee; the license stays active until midnight January 31. | $300 (MD/DO full license, traditional and IMLCC) | 25 AMA PRA Category 1, AOA Category 1-A or equivalent CME credits earned each calendar year (Rule 540-X-14). | ALBME MD/DO License Renewals Checked November 4, 2026 |
| Alaska Alaska State Medical Board | Every 2 years | All medical licenses expire December 31 of even-numbered years (current period January 1, 2025 - December 31, 2026); there is no grace period after expiration | $350 full-term biennial renewal (licenses first issued on or before December 31, 2023); $175 prorated renewal for licenses first issued on or after January 1, 2024; $200 inactive | 50 hours of AMA Category 1 or AOA Category 1 or 2 CME per 2-year period (an average of 25 hours per year), including 2 hours in pain management and opioid use and addiction | Alaska State Medical Board - Medical License Renewal Application (08-0077) Checked October 3, 2026 |
| Arizona Arizona Board of Osteopathic Examiners in Medicine and Surgery | Every 2 years | Renew online every other year by December 31 (statute: on or before January 1, A.R.S. 32-1825(A)); the portal opens about October 1 and notices are mailed the last Friday in October. No penalty through January 31; from February 1 to April 30 a $175 late fee applies; the license expires May 1 with no reinstatement | $636 biennial renewal (A.A.C. R4-22-102; statute caps it at $800) Late: $175 ($150 late penalty plus $25 reimbursement fee) for renewals after January 31 through April 30, $811 total (A.R.S. 32-1826(B)) | 40 hours of Board-approved CME in the 2 years before renewal: at least 24 AOA Category 1-A, no more than 16 AMA PRA Category 1, including 3 opioid/substance-use/addiction hours. First renewal after initial licensure: 20 hours, 12 of them AOA Category 1-A. | AZ Board of Osteopathic Examiners - DO Renewal Application Checked November 4, 2026 |
| Arkansas Arkansas State Medical Board | Every year | Last day of the licensee's birth month (expires at midnight; no grace period). Reminder emails go out about 60, 45 and 30 days before; not receiving one is no excuse. | $11 (temporarily reduced MD/DO renewal fee under Act 114 of 2023, in effect July 1, 2023 through June 30, 2027) Late: $50 (to reinstate an expired license) | 20 credit hours of CME every year, at least 50% Category I in the physician's primary area of practice, including at least 1 hour on prescribing opioids and benzodiazepines (Rule 17). | Arkansas State Medical Board Fee Schedule Checked November 4, 2026 |
| California Osteopathic Medical Board of California | Every 2 years | Renew before the expiration date on the license; the board asks for the renewal and CME documents at least 30 days before expiration to avoid going delinquent (online renewal is possible if the license expires within 90 days). | $455 (active: $400 renewal + $25 Steven M. Thompson + $30 BPC 208 CURES fee); $325 (inactive: $300 + $25) Late: $100 delinquency fee (active) if renewal is postmarked after the expiration date; $75 for inactive | 50 hours of CME every 2 years (between the last and next expiration dates), at least 20 of them AOA Category 1A or 1B and at least 1 hour on addiction to Schedule II drugs or opioids; proof is submitted only if randomly audited. | OMBC Osteopathic Physician and Surgeon Renewal Application (rev. 3/2026) Checked November 4, 2026 |
| Colorado Colorado Medical Board | Every 2 years | Physician licenses expire April 30 of odd-numbered years (next: April 30, 2027). | Not published | 30 credit hours of CME in the 24 months before renewal, reinstatement or reactivation; physicians self-attest at renewal and up to 5% of renewals are audited. | Colorado Medical Board - Colorado Physician CME page Checked November 4, 2026 |
| Connecticut Connecticut Medical Examining Board | Every year | Licenses renew annually in the licensee's birth month. A 90-day grace period follows expiration; on day 91 the license is void and reinstatement is required. | $575 | 50 contact hours of CME within each preceding 24-month period. | CT DPH Physician Licensure Checked November 4, 2026 |
| Delaware Delaware Board of Medical Licensure and Discipline | Every 2 years | March 31 of odd-numbered years; CME period runs April 1 to March 31. A one-year window after expiration allows late renewal; after that the physician must reapply. | Not published Late: 50% of the renewal fee (late renewal allowed up to 1 year after expiration) | 40 hours of approved CME per full renewal period (Category I AMA or equivalent AOA courses); first renewal: none if licensed under 1 year, 20 hours if 1-2 years. | Delaware Board of Medical Licensure and Discipline Checked November 4, 2026 |
| District of Columbia District of Columbia Board of Medicine | Every 2 years | Licenses expire on the last day of the holder's birth month (birth-month cycle since June 16, 2024); renewal falls in odd or even years depending on birth year. | $500 (17 DCMR 3500.1) plus the $50 criminal background check every 2 years Late: $85 | 50 hours of AMA PRA Category 1 CE every 2 years for actively practicing physicians, including 2 hours LGBTQ cultural competency, 5 hours in Director-identified public health priorities, and at least 1 pharmacology course (17 DCMR 4614; board page). | DC Board of Medicine Checked November 4, 2026 |
| Florida Florida Board of Osteopathic Medicine | Every 2 years | Licenses expire March 31 of even-numbered years (current licenses expire March 31, 2028). Renew before expiration to avoid higher fees; after expiration the license becomes delinquent. | $405 active to active (plus $43.25 fingerprint retention fee, plus $100 if dispensing); $605 inactive to active Late: $805 active to active if renewed after expiration ($1,105 inactive to active); $1,210 active to active once in delinquent status ($1,410 inactive to active) | 40 hours CME every 2 years, including 20 hours AOA Category 1-A | Florida Board of Osteopathic Medicine - Osteopathic Physician Renewal Checked November 4, 2026 |
| Georgia Georgia Composite Medical Board | Every 2 years | Licenses renew biennially by the last day of the licensee's birth month; practice is not allowed after expiration. | $230 Late: $455 late renewal fee | 40 hours board-approved CME every 2 years; AMA PRA Category 1 or AOA Category 1 accepted | Georgia Composite Medical Board - Physician licensure information Checked November 4, 2026 |
| Hawaii Hawaii Medical Board | Every 2 years | Osteopathic physician licenses expire June 30 of every even-numbered year (last cycle ended June 30, 2026; next June 30, 2028). Renewal notices go out in May (2026: postcard May 1, renewals accepted May 4-June 30). | $312 | 40 hours Category 1 or 1A CME every 2 years (July 1-June 30); 20 hours at the first renewal if first licensed in the first year of the biennium | Hawaii Medical Board Checked November 4, 2026 |
| Idaho Idaho State Board of Medicine | Every 2 years, expiring on the licensee's birthday (biennial licensing since April 1, 2026) | Renew by the expiration date (the licensee's birthday) shown in DOPL Online Services; renewal opens up to 60 days before expiration. Existing licensees are phased onto the birthday cycle by birth year. | $320 per 2-year renewal ($160 per year on the board fee table; DOPL charges whole years) | 40 hours practice-relevant Category 1 CME every 2 years (or current ABMS/AOA/RCPSC certification, or full-time residency/fellowship); attest at renewal | Idaho Board of Medicine Checked November 4, 2026 |
| Illinois Illinois Department of Financial and Professional Regulation (IDFPR) - Physician and Surgeon licensing (Illinois State Medical Board advises) | Every 3 years | Licenses expire July 31 every third year (the 2026 cycle expired July 31, 2026, with the deadline extended to August 31, 2026; next cycle ends July 31, 2029). Fees are higher when paid after the renewal period. | $181 per year of the cycle ($543 for a full 3-year cycle) (225 ILCS 60/21(E)(4)) | 150 hours CME per 36-month prerenewal period (at least 60 formal; ACCME or AOA recognized); first renewal of an Illinois license is exempt (68 Ill. Adm. Code 1285.110) | IDFPR - Physicians Checked November 4, 2026 |
| Indiana Medical Licensing Board of Indiana | Every 2 years | Licenses expire October 31 of odd-numbered years (next October 31, 2027). Renewal notices are emailed (or mailed if no email is on file) about 90 days before expiration. | $200 active ($100 inactive) Late: $50 penalty ($250 total) if expired up to 3 years; reinstatement after 3+ years $450 | Not published | Indiana PLA - Physicians licensing information (renewal, reinstatement, fee schedule) Checked November 4, 2026 |
| Iowa Iowa Board of Medicine | Every 2 years | Two-year licenses expire on the first day of the licensee's birth month. Online renewal opens about 60 days before the renewal date; the license becomes inactive if not renewed within 2 months after expiration. | $450 online renewal ($550 paper) Late: $100 per calendar month after expiration, up to $200; the license becomes inactive if not renewed within 2 months | 40 hours Category 1 CME every 2 years (up to 20 hours may carry over) | Iowa Board of Medicine - Physicians (fees) Checked November 4, 2026 |
| Kansas Kansas State Board of Healing Arts | Every year (annual) | Osteopathic licenses expire September 30 each year (K.A.R. 100-15-1); renewal opens August 15, October 1 to 31 is the late-renewal period, and unrenewed licenses are cancelled November 1 | $360 online or $430 paper for an active or federally active license (K.A.R. 100-11-1); $150 inactive or exempt Late: Additional $100 online or $230 paper for late renewal of an active license (K.A.R. 100-11-1) | 50 credits in the 18 months before expiration: at least 20 Category I, at least 1 Category III (pain management, opioid prescribing or PDMP use), the rest Category II; or 100 credits/30 months or 150 credits/42 months in the same proportions. Not required for the first renewal. | Kansas Board of Healing Arts - Doctor of Osteopathic Medicine and Surgery FAQ Checked November 4, 2026 |
| Kentucky Kentucky Board of Medical Licensure | Every year | Renew by March 1 each year. Renewals received after March 1 but before April 1 carry a late penalty; licenses not renewed by April 1 become inactive and practicing on them is unauthorized practice. | $150 Late: $50 from March 1 to April 1; $100 after April 1 | 60 hours of CME every 3 years, at least 30 of them AMA or AOA Category 1; the rest may be Category 1 or 2 | KBML Physician page (renewal deadline, late penalty) Checked October 3, 2026 |
| Louisiana Louisiana State Board of Medical Examiners | Every year | License expires on the first day of the month of the licensee's birth month each year. Renewal opens only 56 days before expiration. | $300 (LAC 46:XLV.131) Late: A late fee applies if the license expired less than one year ago | 20 hours of AMA Category 1 or board-approved CME each year (LAC 46:XLV.435), tracked in CE Broker; the first renewal also needs the Laws and Rules course and the one-time CDS-CME course | LSBME Renewals Checked November 4, 2026 |
| Maine Maine Board of Osteopathic Licensure | Every 2 years | The license runs 2 years; the renewal fee is due on or before the expiration date, which follows a schedule set by board rule. If requirements are not met within 30 days after expiration, the license may be treated as lapsed. | $525 | 100 hours of board-approved CME in the 2 years before renewal, at least 40% of them osteopathic medical education | Maine Board of Osteopathic Licensure - Licensure Checked November 4, 2026 |
| Maryland Maryland Board of Physicians | Every 2 years | Licenses expire September 30 on a staggered schedule: last names A-L in even-numbered years, M-Z in odd-numbered years. The online renewal window runs July 15 through September 30 (2026 window is for A-L). | $512 per renewal ($436 renewal + $50 physician rehabilitation/peer review + $26 Maryland Health Care Commission assessment; the Board fees table and COMAR 10.32.01.12 show the first two combined as the $486 biennial renewal fee). IMLCC-issued licenses pay $537 ($512 + $25 IMLCC processing) to the IMLCC. Late: None; there is no late renewal period and the online system closes September 30 at 11:59 p.m. Eastern. CME shortfall carries a $100 penalty per missing credit hour. | 50 CME credits in the two years before expiration, at least 25 of them Category I; first renewal is exempt | Maryland Board of Physicians - Physician renewals Checked November 4, 2026 |
| Massachusetts Massachusetts Board of Registration in Medicine (BORIM) | Every 2 years | Full licenses must be renewed every two years, during the renewal period the Board opens by email notice | $600 Late: Lapsed license renewal fee is $700 (instead of $600) | 50 Category 1 or 2 CME credits per two-year renewal, including 10 risk-management credits, reading the Board regulations (2 credits) and, for prescribers, 3 credits in opioid education and pain management | Renew my Physician Full License (mass.gov) Checked November 4, 2026 |
| Michigan Michigan Board of Osteopathic Medicine and Surgery | Every 3 years | Renew on or before the expiration date shown on the license (3-year cycle set by LARA rule); a license may still be renewed within 60 days after expiration with a late renewal fee and the holder may keep practicing during those 60 days, after which it is null and void (MCL 333.16201) | $314.40 renewal application fee (LARA Osteopathic Physician Licensing Guide); renewal opens no sooner than 90 days before expiration | 150 hours of continuing education in the 3 years before renewal: at least 60 Category 1 (including at least 40 hours from AOA- or Michigan Osteopathic Association-approved programs) and no more than 90 Category 2 | Michigan Admin Code R 338.111-338.143 (Osteopathic Medicine and Surgery - renewal and CE) Checked November 10, 2026 |
| Minnesota Minnesota Board of Medical Practice | Every year | License expires on the last day of the licensee's birth month each year; renewal notices go out about 45 days before. Applications received after the last day of that month are returned for payment of the late fee. | $192 Late: $60 | 75 hours of CME every 3-year cycle | MN Board of Medical Practice - Fees Checked November 4, 2026 |
| Mississippi Mississippi State Board of Medical Licensure | Every year (CME is certified on a 2-year cycle) | The annual renewal period runs May 1 through June 30 each year; a license not renewed by June 30 lapses, and late renewal requests start August 1. | $300 plus a convenience fee Late: Renewing after August 1 requires a late renewal request in MELS with an explanation: $25 base fine plus $5 for each month the license stays delinquent (if filed during an open renewal period, both the late and the current period must be renewed). Licenses expired more than one year need a reinstatement application ($250, credited toward back fees of $300 + $25 + $5/month per lapsed year, up to 5 years). | 40 hours of Category 1 CME (AOA Category 1-A accepted) per 2-year cycle (current cycle July 1, 2026 - June 30, 2028), attested at every annual renewal; documents are kept for audit and no longer sent to the Board (from Feb 27, 2026). | MSBML - MD/DO Permanent License Renewal Checked November 4, 2026 |
| Missouri Missouri State Board of Registration for the Healing Arts | Every year | All physician licenses expire January 31 each year; renewal forms postmarked February 1 or later are delinquent. A license expired more than 6 months needs the full renewal application with all fees and CME (20 CSR 2150-2.050). | $147 Late: $25 late renewal (delinquent) fee | 50 hours of CME per 24-month reporting period (January 1 of even years through December 31 of odd years), including at least 1 hour on the health benefits of nutrition; AOA Category 1-A or 2-A, AMA Category 1 and AAFP Prescribed credit are accepted (20 CSR 2150-2.125) | 20 CSR 2150-2 (2.050 annual registration, 2.080 fees, 2.125 CME) Checked November 4, 2026 |
| Montana Montana Board of Medical Examiners | Every 2 years | Physician (MD and DO) licenses expire March 31 of the renewal year (online renewal window Feb 1 - Mar 31); a lapsed license may be used for 45 days after expiration, after which it becomes expired (Board FAQ). | $375 active renewal ($190 inactive; $185 inactive-to-active conversion) per ARM 24.156.409; abated during FY 2026 per the Board's forms page; prescribers also pay the $60 MPDR fee per two-year renewal Late: 100% late fee in addition to the renewal fee after the expiration date | None - Montana does not require physicians to complete CME to obtain or renew a license (Board FAQ) | Montana Board of Medical Examiners - Renewal Process Checked November 4, 2026 |
| Nebraska Nebraska Board of Medicine and Surgery (licensing administered by the DHHS Licensure Unit) | Every 2 years | All physician and osteopathic physician licenses expire October 1 of each even-numbered year; the renewal application must be postmarked on or before that date. | $121 renewal plus $50 Patient Safety Cash Fund fee for an active license | 50 hours of Category 1 CME approved by ACCME or the AOA, earned in the 24 months before expiration (172 NAC 88-008.01); waived for the first renewal if first licensed within the prior 24 months (172 NAC 10-004.03(B)). | Nebraska DHHS - Physician/Osteopathic Physician renewal notice Checked November 4, 2026 |
| Nevada Nevada State Board of Osteopathic Medicine | Every 2 years (biennial, since AB 56 of 2025) | Renew on or before December 31 of each even-numbered year (NRS 633.471); the Board sends notice at least 30 days before. If not renewed within 10 days after the renewal date the Board sends a 15-day certified notice, then the license expires. | $700 biennial renewal fee (NAC 633.335 as amended by R092-25; Board fee schedule effective July 1, 2026); waived for active-duty military Late: $200 late payment fee (active status); $150 (inactive status) | Renewals after December 31, 2026: at least 40 hours of Board-approved CME per biennium, including 20 hours Category 1A (AOA or ACCME sponsor) and 4 hours on misuse/abuse of controlled substances, opioid prescribing or addiction. The December 31, 2026 renewal uses the old rule: 35 hours in the preceding year, including 10 hours Category 1A and 2 hours on controlled substances/opioids/addiction (NAC 633.250). | NRS 633.471 (renewal and CME) Checked November 4, 2026 |
| New Hampshire New Hampshire Board of Medicine | Every 2 years | Renewal applications are due on or before June 30 of the licensee's renewal year (the renewal year follows the license issue date); the Board sends a notice about 60 days before expiration. | $413 (OPLC Board of Medicine License Fees page, includes the mandatory $28 Professional Health Program fee; Med 306.01 on Cornell LII still shows $350) Late: $700 if renewed within 90 days of the expiration date per Med 306.01 as published on Cornell LII; the OPLC fee page lists a $413 reinstatement fee and no separate late fee, so confirm the current late amount | 100 hours of approved CME every 2 years, at least 40 in Category I (AMA PRA or equivalent) and no more than 60 in Category II. | NH Admin. Code Med 306.01 Fees Checked November 4, 2026 |
| New Jersey New Jersey State Board of Medical Examiners | Every 2 years | Register biennially on or before July 1 (licenses expire June 30). The Board mails a notice at least 60 days before; there is a 30-day grace period with a late fee, after which the license is automatically suspended. | $580 per 2-year cycle ($290 per year registration fee, per the board FAQ); confirm on the renewal notice Late: A late fee applies during the 30-day grace period after expiration | 100 CME credits per 2-year period (Category I or II), at least 40 in Category I; AOA categories are recognized (N.J.A.C. 13:35-6.15). | N.J.A.C. 13:35-6.15 Continuing medical education Checked November 4, 2026 |
| New Mexico New Mexico Medical Board | Every 3 years | Renew by June 30; licenses expire July 1. A license not renewed by October 1 automatically lapses. | $600 for active status ($450 triennial renewal plus $150 triennial impaired physicians program fee) Late: $100 if renewed after June 30 but by August 15; $200 if renewed August 16 - October 1 | 75 hours of Category 1 CME per 3-year cycle, including 1 hour reviewing the NM Medical Practice Act and board rules, and 5 hours of pain management for physicians holding DEA and NM controlled substance registrations; AOA-approved clinical courses are accepted. | New Mexico Medical Board - Licensing and renewal Checked November 4, 2026 |
| New York New York State Board for Medicine | Every 2 years | Registration is renewed every 2 years; online renewal is open within 5 months before and up to 4 months after the registration expiration using the PIN on the renewal notice. | $600 per 2-year registration (NYSED fee chart) Late: Not stated on the NYSED renewal page or Fees Chart: online renewal is allowed up to 4 months after expiration; after that a Delayed Registration Application is required (fee to confirm). | New York has no general CME hour requirement for physician registration; mandated training only (infection control every 4 years; NYSDOH prescriber education every 3 years for DEA registrants). | NYSED OP: Online Registration Renewal Checked November 4, 2026 |
| North Carolina North Carolina Medical Board | Every year (license renews by the physician's birthday); CME runs on a 3-year cycle | Renew each year within 30 days of your birthday; the Board emails a courtesy notice about two months before. After 30 days a $50 late fee applies and a certified failure-to-register notice is sent; with no response within another 30 days the license becomes inactive. | $350 Late: $50 if renewed more than 30 days after the birthday | 60 hours of Category 1 CME relevant to your practice every 3 years, including 3 hours on controlled substance prescribing (prescribing practices and chronic pain management) for physicians who prescribe controlled substances (21 NCAC 32R .0101). | NC Medical Board - Physician renewals Checked November 4, 2026 |
| North Dakota North Dakota Board of Medicine | Every 2 years | Licenses expire on your birthday every other year; the Board emails renewal notices 59 days and 14 days before expiration. Lapsed licenses can be renewed or reactivated up to 3 years after expiring. | $200 per year of licensure (NDAC 50-02-07.1-01), i.e. $400 for the 2-year renewal period Late: No late fee; an expired license can be renewed up to 3 years later by paying $200 per year in arrears (NDAC 50-02-07.1-02.1), plus $500 if the physician practiced while expired | 40 AMA Category 1 hours every 2 years, certified at renewal; current ABMS or AOA board certification can satisfy the requirement. | ND Board of Medicine - Physician FAQs Checked November 4, 2026 |
| Ohio State Medical Board of Ohio | Every 2 years | License is valid for 2 years from issuance and must be renewed on or before the expiration date shown in eLicense; renewals can be submitted up to 180 days before expiration and the board emails reminders at 90, 60 and 30 days (no mailed notices). Failure to renew automatically suspends the license. | $305 + $3.50 transaction fee (includes $20 for the Physician Loan Repayment Fund) Late: $405 reinstatement fee (+ $3.50) if lapsed less than 2 years; $505 restoration fee (+ $3.50) if lapsed 2 years or more, with BCI/FBI check, AOA physician profile report sent to the board, and Category 1 CME for the prior 24 months | 50 hours of CME per 2-year registration period, at least 1 hour on the duty to report misconduct; the rest from Category 1 activities, accredited GME, or limited Ohio volunteer care (OAC 4731-10-02). | Ohio Revised Code 4731.281 License renewal Checked November 4, 2026 |
| Oklahoma Oklahoma State Board of Osteopathic Examiners | Every year (annual) | All licenses expire June 30 each year; the online renewal window opens May 1 and closes June 30 with no late fee. | $250 annually Late: $150 added if renewed July 1 to August 31 (online renewal closes August 31 at 11:59 pm; after that contact the Board) | 16 hours of AOA Category 1 CME each July 1-June 30 cycle (ABMS-certified DOs may use AMA PRA Category 1), entered in CE Broker; DOs with an OBNDD/DEA registration must take 1 of the 16 hours in a Board-approved pain management, opioid use or addiction course. Residents/fellows during any part of the cycle are exempt (exception entered in CE Broker); volunteer and emeritus licensees have no CME. | OSBOE Renewal Requirements Checked November 4, 2026 |
| Oregon Oregon Medical Board | Every 2 years | The renewal window opens October 5, 2026 and licenses expire December 31, 2026; the Board asks that renewals be completed by December 1 to allow review time. A license not renewed by December 31 lapses and the licensee may not practice. | $756 total for a 2-year active MD/DO renewal ($608 registration, $50 HPSP, $20 OHSU library, $70 prescription monitoring, $8 OHA workforce database); $686 for inactive status Late: $195 for renewals submitted after December 31 | 60 hours of CME per 2 years relevant to current practice (30 hours if first licensed in the second year of the biennium); random audits, 60 days to respond. | Oregon Medical Board: Renew a License Checked October 9, 2026 |
| Pennsylvania Pennsylvania State Board of Osteopathic Medicine | Every 2 years | Osteopathic physician licenses expire October 31 of even-numbered years (next: October 31, 2026); the Board sends renewal notices 2 to 3 months before expiration, and CME must be earned between November 1 of the prior even year and October 31 | $450 Late: $5 per month or part of a month (49 Pa. Code 25.231(a)(8)) | 100 credit hours of CME in the preceding 2-year period, including at least 20 hours of AOA Category 1-A and at least 12 hours of Category 1 or 2 in patient safety and risk management. | PA State Board of Osteopathic Medicine: Renewal Information Checked November 4, 2026 |
| Rhode Island Rhode Island Board of Medical Licensure and Discipline | Every 2 years | Licenses expire July 1 of even-numbered years; the renewal application and fee must be filed (payment postmarked) on or before July 1 (rule 1.5.6(B)); unrenewed licenses lapse automatically. CME must be earned by June 1 of the renewal year. | $1,090 per 2-year cycle ($870 for renewal with approved training); the CSR renews with the license ($200) Late: $170 late renewal fee added to the base fee; reinstatement of a lapsed/inactive license is $1,090 | 40 hours of AMA PRA Category 1 or AOA Category 1-A CME every 2 years, earned by June 1 of even years (rule 1.5.5); AOA OCC or ABMS MOC participation satisfies it; keep certificates 3 years and submit only a summary list; one 6-month extension possible. No specific topics required for the 2026 cycle. | RI Code of Regulations 216-40-05-1 (physician licensing, renewal and CME) Checked November 4, 2026 |
| South Carolina South Carolina Board of Medical Examiners | Every 2 years (odd-numbered years) | June 30 of odd-numbered years (next: June 30, 2027). CME must be completed in the 24 months before the deadline and before renewing online. | $155 per the Board's Fees page and Renewal and Late Renewal Fees sheet (the Renewals page still shows $140 for 2025-2027; confirm at the 2027 renewal) Late: $100 per month late fee after the deadline (e.g. $155 + $100 = $255 in July) until the late-renewal period ends; practicing after the deadline adds a $1,000 per month penalty; after the late period a reactivation application ($460) is required | 40 hours of AMA/AOA Category 1 CME in the 2-year renewal period (S.C. Code 40-47-40): 30 in the physician's practice area, up to 10 non-specialty, including 2 hours in prescribing and monitoring Schedule II-IV controlled substances. No CME is required for the first renewal after initial licensure. Up to 10 hours may be claimed for volunteer medical service (S.C. Code 38-79-30(B), with a letter from the organization). Active-duty military are exempt (40-1-610). | SC Board of Medical Examiners: Renewals Checked November 4, 2026 |
| South Dakota South Dakota Board of Medical and Osteopathic Examiners | Every 2 years | Online renewal opens 90 days before the license expires through the MySD account; a license not renewed on or before March 1 of an odd-numbered year is forfeited (SDCL 36-4-24.2). Renewal is the licensee's responsibility and reminders are only a courtesy. | $400 biennial renewal (ARSD 20:47:06:01; SDCL 36-4-24.1 caps it at $400) Late: No late fee: after March 1 of the odd year the license is forfeited and may be reinstated at the board's discretion with the reciprocity application and fee ($400 reinstatement, ARSD 20:47:06:01; SDCL 36-4-24.2) | None: South Dakota sets no CME requirement for MD/DO renewal (no CME provision in SDCL 36-4 or ARSD 20:47; the MySD renewal shows a CE tab only for professions that require it). | SDBMOE FAQs Checked November 4, 2026 |
| Tennessee Tennessee Board of Osteopathic Examination | Every 2 years | Licenses expire on the last day of the licensee's birth month, every two years (even or odd year depends on birth year). Renewal must be filed by the expiration date; a renewal received after it but before the end of the following month needs the $200 late fee, and later renewals go through reinstatement (Rule 1050-02-.07). | $200 renewal + $10 state regulatory fee (biennial) Late: $200 late renewal fee | 40 hours in the 24 months before expiration in AOA Category 1-A, 2-A and/or 1-B (max 20 hours in 1-B), including 2 hours on controlled substance prescribing; Pub. Ch. 857 (2026) adds 1 hour on nutrition within the 40 | TN Board of Osteopathic Examination Checked November 4, 2026 |
| Texas Texas Medical Board | Every 2 years | Licenses expire on Feb 28, May 31, Aug 31 or Nov 30 depending on license assignment. The online system opens 60-90 days before expiration; 30-day grace period after expiration. | $491.48 (24 months) Late: $75 penalty after the 30-day grace period; $150 after 90 days; license cancelled automatically after 1 year expired | 48 hours every 24 months, at least 24 of them formal (AMA PRA Category 1, AAFP prescribed, AOA Category 1-A or TMA-approved), up to 24 informal, including the mandatory topic hours (Board Rule 161.35) | TMB Physician Renewal Checked November 4, 2026 |
| Utah Utah Medical Licensing Board | Every 2 years | Renewal is due May 31 of even-numbered years. DOPL emails a renewal notice 90 days before expiration. Practicing on an expired license is unlawful (Utah Code 58-1-501/502). | $193 (Osteopathic Physician & Surgeon; Controlled Substance Individual renewal $68 per the fee schedule) Late: Reinstatement within 30 days of expiration: renewal fee plus $20; after 30 days and within two years: renewal fee plus $50; after two years a new application is required | 40 CE hours per cycle, at least 34 of them AOA or ACCME Category 1 (R156-68-304), including one 0.5-hour DOPL online suicide prevention training; controlled-substance prescribers add 3.5 hours of CS CE | Utah DOPL Osteopathic Physician Renew a License Checked November 4, 2026 |
| Vermont Vermont Board of Osteopathic Physicians and Surgeons | Every 2 years | September 30 of even years (OPR fee chart). An initial license issued 90 days or less before that date runs through the next full two-year period; one issued 91+ days before must renew at the upcoming date. | $350 biennial (26 V.S.A. § 1794; OPR fee chart updated 7/1/2025) Late: Reinstatement within one biennial period after expiry: renewal fee plus $100 if within 30 days, or after 30 days a penalty equal to the renewal fee plus $40 per additional month, capped at $1,500 (3 V.S.A. § 127(d)) | 30 hours of AOA-approved (or Board-approved equivalent) CME in the two years before renewal, required from the first renewal after two years of licensure (26 V.S.A. § 1836(c); rule 3.6). Synchronous virtual courses count as live (Act 77 of 2023). | 26 V.S.A. 1836 (renewal) Checked November 4, 2026 |
| Virginia Virginia Board of Medicine | Every 2 years | Renew by the end of your birth month in each even-numbered year (18VAC85-20-22 H, 18VAC85-20-230) | $337 active; $168 inactive Late: $115 (late renewal within one renewal cycle) | 30 hours of continuing learning in the 2 years before renewal, all in Type 1 activities or courses from an accredited sponsor or organization sanctioned by the profession; exempt at the first renewal after initial Virginia licensure | VA Board of Medicine Osteopathic CE Checked November 4, 2026 |
| Washington Washington State Board of Osteopathic Medicine and Surgery | Every year (annual license renewal; CE runs on a 3-year cycle) | The license expires on the holder's birthday each year. Renewal can be submitted no sooner than 90 days before expiration. | $461 (includes $16 HEALWA fee and $70 Washington Physician Health Program surcharge) Late: $190 late renewal penalty | 150 hours every 3 years, at least 60 in Category 1-A, plus health equity training every 4 years and one-time opioid and suicide trainings; ABOMS/ABMS certification or MOC, the AOA CME certificate or the AMA PRA can satisfy the 150 hours (WAC 246-853-080, effective 8/30/2026) | WA DOH Osteopathic Physician Licensing Information Checked November 4, 2026 |
| West Virginia West Virginia Board of Osteopathic Medicine | Every 2 years | Application and fees must be submitted to the Board by June 30. | $400 (plus 2.25% processing fee when paying by credit card) Late: $100 late renewal fee (24 CSR 5 § 2.7); a license not renewed on time is automatically suspended and reinstatement needs a new application (24 CSR 1 § 15.3) | 32 AOA-approved CME hours per two-year licensing period, at least 50% Category 1 (Board page: 16 hours AOA Category 1-A or 1-B), including at least 2 hours of nutrition | WV Board of Osteopathic Medicine D.O. Renewal Instructions Checked November 4, 2026 |
| Wisconsin Wisconsin Medical Examining Board | Every 2 years | October 31 of odd-numbered years (next: October 31, 2027). Renewal notices go out about four weeks before expiration. | $120 Late: $25 | 30 hours of AMA or AOA Category 1 CME per 2-year period, including 2 hours on prescribing opioids and other controlled substances (Med 13.02) | WI DSPS Physician MD/DO Checked November 4, 2026 |
| Wyoming Wyoming Board of Medicine | Annual (license year July 1 - June 30) | June 30 each year; renewals received during the grace period must reach the Board office by 5:00 p.m. September 30 (2026-2027 online renewal is closed). | $155.00 annual renewal per the fee schedule effective 8/25/2026 (the 2026-2027 paper form asked only $25; see openQuestions); $25.00 paper processing fee Late: $100 grace period surcharge plus $25 paper processing fee ($125 total in grace period, on top of the standard fee) | 60 hours of qualified CME in the preceding 3 years (Board Rules Ch. 3 Sec. 7), attested on each annual renewal; plus 1 hour on responsible controlled-substance prescribing or substance-use-disorder treatment every 2 years for Wyoming Controlled Substance Registration holders (W.S. 33-26-202(b)(xiv)) | WY Board of Medicine Renew Physician License Checked November 4, 2026 |
Questions
How often do osteopathic physicians (do) have to renew their license?
It depends on the state. Of the 51 jurisdictions in this table, 35 every 2 years, 13 every year, 3 every 3 years. These are the cycles each board publishes (verified between October 3, 2026 and November 10, 2026); confirm with the board before renewing.
How many CME hours does a osteopathic physician need to renew?
49 of 51 boards state a CME hour total. The CE period doesn't always match the license cycle, so compare each board's own wording. The highest stated totals are Illinois (150 hours CME per 36-month prerenewal period (at least 60 formal; ACCME or AOA recognized); first renewal of an Illinois license is exempt (68 Ill. Adm. Code 1285.110)); Michigan (150 hours of continuing education in the 3 years before renewal: at least 60 Category 1 (including at least 40 hours from AOA- or Michigan Osteopathic Association-approved programs) and no more than 90 Category 2); Washington (150 hours every 3 years, at least 60 in Category 1-A, plus health equity training every 4 years and one-time opioid and suicide trainings; ABOMS/ABMS certification or MOC, the AOA CME certificate or the AMA PRA can satisfy the 150 hours (WAC 246-853-080, effective 8/30/2026)). 2 boards list no CME hour requirement. See the table for every state.
Can a osteopathic physician hold licenses in more than one state?
Yes. Each state issues and renews its own license on its own cycle, fee and CME rules, so a osteopathic physician licensed in several states has several renewal dates to track. Rivon Health tracks every license and its expiration date and alerts the team before each one is due.
Where does this renewal data come from?
Each row is taken from the licensing board's own published pages, linked in the Source column with the date we last checked it (between October 3, 2026 and November 10, 2026). Boards change fees and rules, so treat this as a starting point and confirm with the board before renewing.
Next step
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