Missouri Code of State Regulations
Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE
Division 2150 - State Board of Registration for the Healing Arts
Chapter 2 - Licensing of Physicians and Surgeons
Section 20 CSR 2150-2.030 - Licensing by Reciprocity

(1) The applicant shall furnish a postgraduate reference letter to the board from each institution where they are a house officer, meaning either intern or resident.

(2) The applicant shall furnish proof of graduation to the board from an accredited high school and satisfactory evidence of completion of pre-professional education consisting of a minimum of sixty (60) semester hours of college credit in acceptable subjects from a reputable college or university approved by the board.

(3) The applicant shall furnish satisfactory evidence to the board of having attended throughout at least four (4) terms of thirty-two (32) weeks of actual instructions in each term of a professional college recognized as reputable by the board and of having received a diploma from a professional college recognized as reputable by the board.

(4) Applicants for licensing by reciprocity who have been examined successfully by any professional board considered competent by the State Board of Registration for the Healing Arts, and having received grades not less than those required by the board, and holding certificates as physicians and surgeons in any state or territory of the United States or the District of Columbia and, in addition, presenting to the board satisfactory certificates that they in every way fulfilled all the scholastic and other requirements of the State Board of Registration for the Healing Arts, at the discretion of the board, and upon showing to the State Board of Registration for the Healing Arts may receive from the board a license to practice as a physician and surgeon in Missouri without further examination. Applicants may be required to appear before the board in person.

(5) The applicant is required to make application (see 20 CSR 2150-2.040) upon a form prepared by the board.

(6) No application will be considered unless fully and completely made out on the specified form properly attested.

(7) An applicant for reciprocity shall present, attached to the application, a recent photograph, not larger than three and one-half inches by five inches (3 1/2" x 5").

(8) Applications shall be sent to the executive director of the State Board of Registration for the Healing Arts, PO Box 4, Jefferson City, MO 65102.

(9) The fee for reciprocity shall be the appropriate fee as established in 20 CSR 2150-2.080. The fee shall be sent in the form of a bank draft or post office money order or express money order.

(10) The applicant shall furnish, on a form prescribed by the board, verification of licensure from every state, territory, or international country in which the applicant has ever been licensed to practice the healing arts.

(11) The professional diploma and verification of licensure shall be sent to the executive director of the State Board of Registration for the Healing Arts for verification. Photocopies of the documents may be accepted at the discretion of the board.

(12) When an applicant has filed their application and the appropriate fee as established in 20 CSR 2150-2.080 for licensure by reciprocity and the application is denied by the board or subsequently withdrawn by the applicant, the appropriate fee established by the board will be retained by the State Board of Registration for the Healing Arts as a service charge.

(13) An applicant who cumulatively three (3) times or more has failed a licensing examination administered in one (1) or more states or territories of the United States or the District of Columbia will not be licensed by reciprocity in this state by the board unless they meet the waiver criteria in section 334.040, RSMo.

(14) At the discretion of the board, applicants may be exempt from sections (1) and (2) of this rule and from providing a copy of their professional diploma if they provide proof of the following:

(15) Applicants who have not actively engaged in the practice of clinical medicine or held a teaching or faculty position in a medical or osteopathic school approved by the AMA, LCME, or the AOA for any two (2) years in the three- (3-) year period immediately preceding the filing of their application for licensure may be required to complete continuing medical education, additional training, an assessment from a board-approved facility, or a reexamination. Reexaminations may include the Federation of State Medical Board's Special Purpose Examination (SPEX), the National Board of Osteopathic Examiners Comprehensive Osteopathic Medical Variable-Purpose Examination (COMVEX), or specialty or certification examinations recognized by the AOA or the ABMS.

(16) The term "actively engaged in the practice of clinical medicine" as used in this rule shall mean proof of practicing medicine the equivalent of four hundred (400) hours per year.