Name
License Number
Date of Birth
License Status
License Category
Date of Issuance and Expiration
Primary Specialty
Address Information
Cost of Service: Free
For Free License Verifications, Click
Here
Includes all information contained in the Free License
Verification plus:
Status Year
Board History with excerpt of Board Minutes
Cost of Service: $15.00
in-state organizations or $20.00 out-of-state organizations
Contract Required?: No
Setup Fee
Charged?: No
For Detailed License Verifications, you can do one of the
following:
- You can apply online to use this
service by clicking on Sign Up at the top of this
page
- or -
- You can make an appointment to view the professionals file in the Medical Board's office.
View the contacts page
- or -
- You can send a written request along with your check or money order to:
Arkansas State Medical Board
ATTN: Detailed License
Verification
2100 Riverfront Drive
Little Rock, AR 72202
If you are an organization which
credentials doctors for privileges at any Arkansas
organization, you MAY BE REQUIRED to use credentialing
services by the ARCCVS. This service Includes Access to the
Arkansas State Medical Board's Detailed License
Verification plus:
Initial Credentialing
reports include
Education
ECFMG Exam
Licensure History
Professional History
Other Activities
Regulation 7 Exemption
Specialties
Dispensing Physicians
Malpractice Liability Coverage
Physician Health Committee
Medicare and Medicaid Sanctions
Military Service
Federation of State Medical Boards
AMA Profile Verification
Criminal Law Convictions
Federal and State DEA Information
UPIN
Medicare and Medicaid Numbers
Special Conditions:
Mental/Emotional Conditions
Physical Conditions
Drug/Alcohol Conditions |
Recredentialing includes
Information equivalent to that of an Initial Credentialing, except that the data is limited to the previous two years.
This information is used for physicians who are applying for reappointment for medical and staff membership and/or privileges.
|
| Fees associated with
Initial Credentialing |
Fees
Associated with Recredentialing |
| Cost per Initial
Credentialing report: $60.00 |
Cost per
Recredentialing report: $40.00 |
|
|
Additional Fees |
Setup fee: In
addition to per use fees, an initial account setup fee
will be charged to your account upon account
activation.
Renewal Fee: A yearly renewal fee will be
charged to your account.
Fees are subject to change, pursuant to the
regulations of the Arkansas State Medical Board.
For more information about these fees, please consult
the latest copy of the Arkansas Medical Practices
Act and Board Regulations.
To obtain a
copy of the Arkansas Medical Practices Acts, please
contact the Board at (501) 296-1802, or click
here to download a PDF version (Adobe Acrobat is
required for the PDF version. Click
here to go to our downloads page and download the
free reader software). |
You may apply online to use this
service by clicking on Sign Up at the top of this page
Complete instructions on how to complete the online
application will be provided.
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