North Dakota (ND)

North Dakota Medical License

Get licensed to practice medicine in North Dakota. 48th. IMLC member state for expedited licensure.

Population
800,000
Difficulty
Low
  • IMLC Compact member (joined 2017)
  • Telehealth: Allowed
  • CME: 60 hours per 3-year cycle (License renews biennially)

Medical board

North Dakota Board of Medicine

2-3 business days for inquiries; application updates within 2 weeks

Official Website ↗

Quick answer

Quick Answer: North Dakota Medical License

Time to License
3-5 weeks
Total Cost
$205-$450
CME Requirements
60 hours per 3-year cycle (License renews biennially)
IMLC Compact
Yes - expedited licensing available

Healthcare market

North Dakota Healthcare Market

Key market data for physicians considering North Dakota.

Healthcare Market

$6.5 billion (estimated 2024)

Physician Demand

Very High

Primary Care Avg.

$268,000

Unique Opportunities in North Dakota

  • Low state income tax
  • Very low cost of living
  • Severe physician shortage
  • Strong economy (energy sector)
  • Sanford Health major employer
  • Rural areas have critical needs

Application sequence

North Dakota Licensing Timeline

Typical timeline: 3-5 weeks. Here's what to expect.

  1. 1

    Submit Application

    Complete online application through North Dakota Board of Medicine.

    1-2 days
  2. 2

    Pay Fees

    Submit application fee.

    Immediate
  3. 3

    Background Check

    Complete fingerprinting.

    1-2 weeks
  4. 4

    Verification

    Credential verification.

    1-2 weeks
  5. 5

    Approval

    Board review and license issuance.

    1 week

Application path

North Dakota License Requirements

Complete requirements for your ND medical license.

Medical Education

Graduate from LCME or AOA-accredited school, or approved international school

  • Official transcripts required

Postgraduate Training

Minimum 2 year(s) required

  • 24 months ACGME-accredited training

Licensing Exams

Pass USMLE Step 1, 2 CK, and 3

  • COMLEX accepted: true

Background Check

Fingerprinting required

  • FBI fingerprint background check

Professional References

3 references required

  • Licensed physicians
  • Program directors

Practice considerations

Practicing in North Dakota

What to expect when practicing medicine in North Dakota.

Specialties in Demand

Very rural; Fargo largest city

  • Primary Care
  • Family Medicine
  • Internal Medicine
  • General Surgery
  • Emergency Medicine
  • Psychiatry

Compensation

Above national average

  • Primary Care: $268,000
  • Specialist: $400,000

Cost of Living

89.3 (10.7% below national average)

  • Housing: Very low; median $250,000
  • State Tax: 1.1% to 2.9% (among lowest in US)

Major Markets

Major metropolitan practice markets.

  • Fargo-Moorhead (250K metro - includes MN)
  • Bismarck-Mandan (135K metro)
  • Grand Forks (100K metro - includes MN)

Shortage Areas

Areas with documented physician demand.

  • Nearly all rural counties
  • Western North Dakota (oil country)
  • Native American reservations

Major Healthcare Systems

Selected systems in the frozen state resource.

  • Sanford Health
  • Essentia Health
  • Altru Health System

Avoid delays

Common Pitfalls to Avoid

Don't let these common issues delay your North Dakota license.

Harsh Winter Climate

North Dakota has extremely cold winters.

Solution: Research climate carefully; ensure lifestyle fit

Rural Isolation

Very sparse population with long distances.

Solution: Research location carefully; understand support systems

Common questions

North Dakota Licensing FAQ

Common questions about getting licensed in North Dakota.

How long does North Dakota medical licensure take?

Typically 3-5 weeks - very efficient process.

Is North Dakota in the IMLC?

Yes, North Dakota is an IMLC member state.

What is the income tax in North Dakota?

North Dakota has very low income tax rates (1.1% to 2.9%) - among the lowest in states with income tax.

What is the physician shortage like?

North Dakota has one of the worst physician shortages in the nation, resulting in strong recruitment incentives.

Track North Dakota renewals in one tracker.

Keep requirements, documents, renewals, and proof visible before deadlines.