NCMB - Perfusionist - Applicant Login

New Application: If you wish to begin a new application, click 'New User' below.

Important: During this application process you will be required to download forms using Acrobat Reader. If you do not have Acrobat Reader, click here to download.

Please be aware of the following:

  1. You must complete the online portion of the application and pay within 30 days or your application will be deleted.
  2. This is not a registration renewal.
  3. Please turn off your pop-up blocker in order to complete this online application.
  4. PRINTER ACCESS NEEDED TO COMPLETE THE ONLINE APPLICATION. You must print out various forms that support your application before you pay for the application. After you enter your valid credit card (Visa/Mastercard/Discover) you must print the application receipt. Payment by check or money order is not acceptable and will be returned.
  5. Processing of the application will not begin until payment has been received. Therefore, the online status will not be updated until that time.
  6. If you have previously applied for any type of North Carolina medical license, some of your information will automatically be pre-populated into this application.
  7. Attention: This is important. Making false statements or representations to the Board, or willfully concealing from the Board material information in connection with your application for a license may result in denial of your application or other disciplinary action. All license denials are reported to the National Practitioners Data Bank (NPDB) and other state medical boards. If you are in doubt about whether to report any information requested you are advised to fully disclose the information and provide an explanation of the circumstances.




Continue Application: If you have already started an application and wish to continue with that application,
enter your File ID number and Date of Birth and then click 'Login' below.



File ID: *
Date of Birth
(mm/dd/yyyy)
*


If you do not remember your File ID number, click here