Renewals
Renew your card before it lapses
A lapsed card usually means starting over — sometimes including a new in-person exam. Renewals are $169, and 40 states allow them fully online (including most states that required your first visit in person).
Online renewals (40 states)
Renew in AlaskaRenew in ArizonaRenew in ArkansasRenew in CaliforniaRenew in ColoradoRenew in ConnecticutRenew in DelawareRenew in FloridaRenew in GeorgiaRenew in HawaiiRenew in IllinoisRenew in KentuckyRenew in LouisianaRenew in MaineRenew in MarylandRenew in MassachusettsRenew in MichiganRenew in MinnesotaRenew in MississippiRenew in MissouriRenew in MontanaRenew in NevadaRenew in New HampshireRenew in New JerseyRenew in New MexicoRenew in New YorkRenew in North DakotaRenew in OhioRenew in OklahomaRenew in OregonRenew in PennsylvaniaRenew in Rhode IslandRenew in South DakotaRenew in TexasRenew in UtahRenew in VermontRenew in VirginiaRenew in WashingtonRenew in Washington, D.C.Renew in West Virginia
In-person renewals (2)
Not sure when your card expires? Most states open renewal windows 30–60 days before expiration. Our full renewal guide covers deadlines, lapse consequences, and the two-clock problem (physician certification vs. state registration).
Expiring soon?
Book your renewal evaluation — $169, refunded if you're not approved.