Login Register New Physician Registration Your Profession: Choose which Profession Your License is for 1501 - Medical Doctor 1502 - Medical Doctor Public Psychiatry Certificate 1503 - Medical Doctor Public Health Certificate 1504 - Medical Doctor Limited to Mayo Clinic 1505 - Medical Doctor Limited to Cleveland Clinic 1506 - Medical Doctor Limited License 1507 - Medical Doctor Temporary Area Critical Need 1508 - Medical Faculty Certificate 1509 - Medical Doctor Visiting Faculty Certificate 1510 - Medical Doctor Resident Registration HSE Physician 1513 - Medical Doctor Restricted 1901 - Osteopathic Physician 1902 - Osteopathic Resident Registration 1903 - Osteopath Limited License 1904 - Osteopath Faculty Certificate 1905 - Osteopathic Area Critical Need 1711 - Advanced Nurse Practitioner 1512 - Physician's Assistant 701 - Dentist 707 - Dental Residency Permit 708 - Health Access Dental 2201 - Pharmacist 2106 - Podiatric Resident Physician 1801 - Optometrist License Number: Last Name: First Name: Date of Birth: (mm/dd/yyyy) Last 4 Digits of your SSN: Your UserId: Your Email Address: