Request Access to Online Services for Licensed Professionals

WARNING:Only licensees may use this registration page to establish an online presence with the Arkansas State Medical Board. Improper use or unauthorized access to this information is expressly prohibited and will be punished to the highest extent of the law.

Please fill in the following information. Upon approval of your request, a letter will be sent to your home address on file containing instructions on finishing the process.

ALL FIELDS ARE REQUIRED!

License # : Example: X-1234

Birth Date :

Last 4 of Your SSN :

If you are not the holder of the license, DO NOT ATTEMPT TO ESTABLISH AN ONLINE PRESENCE with the Arkansas State Medical Board.

I attest to the fact that I am the licensee or license applicant