DO - Doctor of Osteopathic Medicine
DO License Renewal & CME Requirements by State
Complete reference guide for osteopathic medical license renewal cycles and continuing medical education (CME) credit requirements across all U.S. states and territories.
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The information provided on this page may have changed since publication. Healthcare providers should always verify current requirements with their respective state medical licensing boards. If you find any errors or outdated information, please submit feedback to help us keep this resource accurate.
| State/Jurisdiction | License Renewal Cycle | License Deadline | CME Cycle | CME Deadline | Total CME | Special CME Requirements | One-time Requirements |
|---|---|---|---|---|---|---|---|
| Alabama | 1 year | Dec 31 annually | 1 year | Dec 31 annually | 25 AMA PRA Category 1 Credits™ or AOA Category 1-A | 2 hrs for AL Controlled Substance Certificate holders; 12 hrs for QACSC issuance; 4 hrs for QACSC renewal | None |
| Alaska | 2 years | Based on renewal date | 2 years | Based on renewal date | 50 hours (AOA Category 1 or 2 or AMA PRA Category 1 Credits™) | 2 hrs pain management/opioid use and addiction if possess DEA | None |
| Arizona | 2 years | Dec 31 (biennial) | 2 years | Dec 31 (biennial) | 40 AMA PRA Category 1 Credits™ or AOA Category 1-A | 3 hrs opioid/substance use disorder/addiction | None |
| Arkansas | 2 years | Last day of birth month | 2 years | Last day of birth month | 20 hours (10 must be AOA Category 1-A or AMA PRA Category 1 Credits™) | 1 hr opioid and benzodiazepine prescribing annually | 3 hrs prescribing education at first renewal |
| California | 2 years | Based on renewal date | 2 years | Based on renewal date | 50 hours (AOA Category 1 or 2 or AMA PRA Category 1 Credits™) | None | 12 hrs Pain Management and Treatment of Terminally Ill Patients |
| Colorado | 2 years | Based on renewal date | N/A | N/A | No specific requirement (30 Category 1 Credits starting 2027) | 2 hrs opioid prescribing/substance use prevention | None |
| Connecticut | 1 year | Based on renewal date | 2 years | Based on renewal date | 50 Contact Hours (AOA Category 1-A or AMA PRA Category 1 Credits™) | None | None |
| Delaware | 2 years | Renewal date (odd years) | 2 years | Renewal date (odd years) | 40 AMA PRA Category 1 Credits™ or AOA Category 1-A | 2 hrs controlled substance prescribing/chronic pain | None |
| District of Columbia | 2 years | Last day of birth month | 2 years | Last day of birth month | 50 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | None |
| Florida | 2 years | Mar 31 (biennial) | 2 years | Mar 31 (biennial) | 40 hours (20 must be AOA Category 1-A; remaining can be AMA PRA Category 1) | 2 hrs controlled substance prescribing if possess DEA; 2 hrs Prevention of Medical Errors; 1 hr Florida Laws & Rules; 1 hr Professional & Medical Ethics; 2 hrs Domestic Violence every 3rd renewal | None |
| Georgia | 2 years | Last day of birth month | 2 years | Last day of birth month | 40 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | 3 hrs controlled substance prescribing if possess DEA (one-time) |
| Hawaii | 2 years | Jan 31 (even years) | 2 years | Jan 31 (even years) | 40 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | None |
| Idaho | 2 years | Birthday | 2 years | Birthday | 40 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | None |
| Illinois | 3 years | July 31 (triennial) | 3 years | July 31 (triennial) | 150 hours (60 must be AOA Category 1 or AMA PRA Category 1 Credits™) | 1 hr Sexual Harassment Prevention; 1 hr Implicit Bias Awareness; 1 hr Recognizing Dementia; 1 hr Safe Opioid Prescribing if hold IL Controlled Substance License; 0.5 hrs Cultural Competency; 0.5 hr Mandated Reporter (Child Abuse) | None |
| Indiana | 2 years | Oct 31 (odd years) | N/A | N/A | No general mandate (2 hrs AOA 1-A or AMA PRA Category 1 on opioid prescribing for CSR) | 2 hrs opioid abuse and prescribing for controlled substance registration | None |
| Iowa | 2 years | Based on renewal date | 2 years | Based on renewal date | 40 AMA PRA Category 1 Credits™ or AOA Category 1-A | 2 hrs chronic pain management and 2 hrs end-of-life care every 5 years if provide primary care | None |
| Kansas | 1 year | Oct 31 annually | 1 year | Oct 31 annually | 50 hours (20 must be AOA Category 1-A or AMA PRA Category 1 Credits™) | 1 hr education in acute or chronic pain management; the appropriate prescribing of opioids; or the use of prescription-drug monitoring programs | None |
| Kentucky | 1 year | Mar 1 annually | 3 years | Dec 31 (triennial) | 60 hours (30 must be AOA Category 1-A or AMA PRA Category 1 Credits™) | 4.5 hrs KASPER/pain management/addiction disorders if prescribe or dispense controlled substances | None |
| Louisiana | 1 year | Based on renewal date | 1 year | Based on renewal date | 20 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | 3 hrs best practices for prescribing CDS/drug diversion/addiction treatment/chronic pain if possess CDS license (one-time) |
| Maine | 2 years | Last day of birth month | 2 years | Last day of birth month | 100 hours (40 must be AOA Category 1 or AMA PRA Category 1 Credits™) | 3 hrs opioid prescribing if prescribe controlled substances | None |
| Maryland | 2 years | Sept 30 (biennial) | 2 years | Sept 30 (biennial) | 50 AMA PRA Category 1 Credits™ or AOA Category 1-A | 1 hr opioid prescribing and implicit bias training | 2 hrs controlled substance prescribing for CDS registration (one-time) |
| Massachusetts | 2 years | Based on renewal date | 2 years | Based on renewal date | 50 AMA PRA Category 1 Credits™ or AOA Category 1-A | 10 hrs Risk Management; 3 hrs Pain Management if prescribing controlled substances; 2 hrs reviewing each chapter of Board regulations (243 CMR) | 2 hrs End-of-Life Issues; 2 hrs Implicit Bias; 3 hrs EHR Proficiency; 1 hr Domestic and Sexual Violence; 1 hr Child Abuse and Neglect; 1 hr Alzheimer's Disease; 2 hrs Proper Use of Marijuana (for physicians certifying medical marijuana use) |
| Michigan | 3 years | Jan 31 (triennial) | 3 years | Jan 31 (triennial) | 150 hours (60 must be AOA Category 1-A or AMA PRA Category 1 Credits™) | 3 hrs implicit bias; 1 hr medical ethics; 3 hrs pain management | 8 hrs managing patients with opioid or substance use disorders for physicians with DEA (one-time); Human Trafficking Training |
| Minnesota | 2 years | Based on renewal date | 3 years | Based on renewal date | 75 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | None |
| Mississippi | 1 year | June 30 annually | 2 years | June 30 (even years) | 40 AMA PRA Category 1 Credits™ or AOA Category 1-A | 5 hrs prescribing controlled substances if possess DEA | None |
| Missouri | 1 year | Jan 31 annually | 2 years | Dec 31 (odd years) | 50 hours (AOA Category 1-A or 2-A or AMA PRA Category 1 Credits™) | None | None |
| Montana | 1 year | Based on renewal date | N/A | N/A | No specific requirement | None | None |
| Nebraska | 2 years | Oct 1 (even years) | 2 years | Oct 1 (even years) | 50 AMA PRA Category 1 Credits™ or AOA Category 1-A | 3 hrs controlled substance prescribing if prescribe controlled substances | None |
| Nevada | 2 years | Dec 31 (even years) | 2 years | Dec 31 (even years) | 40 hours (AOA Category 1-A or AMA PRA Category 1) | 2 hrs ethics/pain/addiction (even years); 2 hrs misuse of controlled substances (if DEA); 2 hrs Suicide Prevention (every 4 years) | 2 hrs SBIRT (one-time) |
| New Hampshire | 2 years | June 30 (biennial) | 2 years | June 30 (biennial) | 100 hours (40 must be AOA Category 1-A or AMA PRA Category 1 Credits™) | 3 hrs pain management and addiction disorder if possess DEA | None |
| New Jersey | 2 years | June 30 (odd years) | 2 years | June 30 (odd years) | 100 hours (40 must be AOA Category 1-A or AMA PRA Category 1 Credits™) | 1 hr controlled substance prescribing; 2 hrs End-of-Life Care; 2 hrs Prevention of Medical Errors (every renewal); 2 hrs Domestic Violence every 3rd renewal | 6 hrs Cultural Competency |
| New Mexico | 3 years | June 30 (triennial) | 3 years | June 30 (triennial) | 75 AMA PRA Category 1 Credits™ or AOA Category 1-A | 5 hrs pain management and controlled substance prescribing if possess DEA | None |
| New York | 2 years | Based on renewal date | N/A | N/A | No general mandate (specific mandates only) | 2 hrs Mandatory Infection Control (NYSDOH/NYSED-approved) every 4 years | 2 hrs Child Abuse Identification |
| North Carolina | 1 year | Birthday | 3 years | Birthday | 60 AMA PRA Category 1 Credits™ or AOA Category 1-A | 3 hrs controlled substance prescribing if prescribe controlled substances | None |
| North Dakota | 1 year | Dec 31 annually | 3 years | Dec 31 (triennial) | 60 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | None |
| Ohio | 2 years | Based on renewal date | 2 years | Based on renewal date | 50 AMA PRA Category 1 Credits™ or AOA Category 1-A | 1 hr on duty to report misconduct; 20 hrs pain medicine if owner/operator of pain management clinic | None |
| Oklahoma | 1 year | Based on renewal date | 1 year | Based on renewal date | 16 AOA Category 1-A Credits (Strict requirement) | 1 hr pain management/opioid use/addiction if possess DEA | None |
| Oregon | 2 years | Dec 31 (odd years) | 2 years | Dec 31 (odd years) | 60 AMA PRA Category 1 Credits™ or AOA Category 1-A | 6 hrs pain management/opioid prescribing/substance use disorders | None |
| Pennsylvania | 2 years | Dec 31 (even years) | 2 years | Dec 31 (even years) | 100 hours (20 must be AOA Category 1-A unless ABMS certified) | 2 hrs pain management/addiction/opioid prescribing; 12 hrs Patient Safety/Risk Management; 2 hrs Child Abuse Recognition (approved) | None |
| Rhode Island | 2 years | June 30 (even years) | 2 years | June 30 (even years) | 40 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | None |
| South Carolina | 2 years | June 30 | 2 years | Dec 31 (even years) | 40 AMA PRA Category 1 Credits™ or AOA Category 1-A | 2 hrs prescribing and monitoring controlled substances | None |
| South Dakota | 1 year | Based on renewal date | N/A | N/A | No CME requirement | None | None |
| Tennessee | 2 years | Last day of birth month (biennial) | 2 years | Last day of birth month (biennial) | 40 AMA PRA Category 1 Credits™ or AOA Category 1-A | 2 hrs controlled substance prescribing (TN chronic pain guidelines) for all licensees | None |
| Texas | 2 years | Feb 28, May 31, Aug 31, Nov 30 (quarterly) | 2 years | Feb 28, May 31, Aug 31, Nov 30 | 48 hours (24 must be AOA Category 1-A or AMA PRA Category 1 Credits™) | 10 hrs each year if practicing in pain management clinics; 2 hrs if direct patient care (first two renewals then every 8 years); 1.5 hrs Human Trafficking Prevention (HHSC approved) course | None |
| Utah | 2 years | May 31 (even years) for DOs | 2 years | Jan 31 (even years) | 40 hours (34 must be AOA Category 1-A or AMA PRA Category 1 Credits™) | 3.5 hrs controlled substance prescribing if prescribe controlled substances | None |
| Vermont | 2 years | Nov 30 (biennial) | 2 years | Nov 30 (biennial) | 30 AMA PRA Category 1 Credits™ or AOA Category 1-A | 2 hrs if possess DEA | None |
| Virginia | 2 years | Based on renewal date | 2 years | Based on renewal date | 60 hours (30 must be Type 1/Category 1) | 2 hrs pain management/controlled substance prescribing/addiction management | None |
| Washington | 1 year | Based on renewal date | 3 years | Based on renewal date | 150 hours (60 must be AOA Category 1-A or AMA PRA Category 1 Credits™) | 2 hrs Health Equity (every 4 years) | 1 hr if prescribe controlled substances (one-time); 6 hrs Suicide Prevention (Board-approved) |
| West Virginia | 2 years | June 30 (A-L even years; M-Z odd years) | 2 years | Based on renewal date | 32 AMA PRA Category 1 Credits™ or AOA Category 1-A | 3 hrs risk assessment and responsible prescribing of controlled substances if prescribe/administer/dispense | None |
| Wisconsin | 2 years | Based on renewal date | 2 years | Based on renewal date | 30 AMA PRA Category 1 Credits™ or AOA Category 1-A | 2 hrs opioid and controlled substance prescribing if authorized to prescribe | None |
| Wyoming | 2 years | Based on renewal date | 3 years | Based on renewal date | 60 hours (AOA Category 1 or 2 or AMA PRA Category 1 Credits™) | None | None |
| Guam | N/A | N/A | 2 years | N/A | 100 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | None |
| N Mariana Is. | N/A | N/A | 1 year | N/A | 50 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | None |
| Puerto Rico | N/A | N/A | 3 years | N/A | 60 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | None |
| Virgin Islands | N/A | N/A | 1 year | N/A | 25 AMA PRA Category 1 Credits™ or AOA Category 1-A | None | None |
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