Physician License Difficulty by State (2026)

Compare physician license difficulty across 51 states. Average difficulty: 40/100. Easiest in Missouri (38), hardest in Nevada (43).

Average

Easiest

Missouri

Score: 38

Hardest

Nevada

Score: 43

#	State	Score	Grade	Label	Confidence
1	Missouri	38	B	Easy	33%
2	Pennsylvania	38	B	Easy	33%
3	Wisconsin	38	B	Easy	33%
4	Alaska	39	B	Easy	33%
5	Arizona	39	B	Easy	33%
6	Arkansas	39	B	Easy	33%
7	Colorado	39	B	Easy	33%
8	Delaware	39	B	Easy	33%
9	Georgia	39	B	Easy	33%
10	Hawaii	39	B	Easy	33%
11	Idaho	39	B	Easy	33%
12	Illinois	39	B	Easy	33%
13	Indiana	39	B	Easy	33%
14	Iowa	39	B	Easy	33%
15	Kansas	39	B	Easy	33%
16	Kentucky	39	B	Easy	33%
17	Louisiana	39	B	Easy	33%
18	Michigan	39	B	Easy	33%
19	Minnesota	39	B	Easy	33%
20	Montana	39	B	Easy	33%
21	Nebraska	39	B	Easy	33%
22	New Hampshire	39	B	Easy	33%
23	New Mexico	39	B	Easy	33%
24	North Carolina	39	B	Easy	33%
25	North Dakota	39	B	Easy	33%
26	Ohio	39	B	Easy	33%
27	Oklahoma	39	B	Easy	33%
28	Oregon	39	B	Easy	33%
29	South Dakota	39	B	Easy	33%
30	Utah	39	B	Easy	33%
31	Virginia	39	B	Easy	33%
32	West Virginia	39	B	Easy	33%
33	Wyoming	39	B	Easy	33%
34	Alabama	40	B	Easy	33%
35	Connecticut	40	B	Easy	33%
36	Florida	40	B	Easy	33%
37	Maine	40	B	Easy	33%
38	Massachusetts	40	B	Easy	33%
39	Mississippi	40	B	Easy	33%
40	South Carolina	40	B	Easy	33%
41	Tennessee	40	B	Easy	33%
42	Vermont	40	B	Easy	33%
43	Washington	40	B	Easy	33%
44	District of Columbia	41	C	Moderate	33%
45	Maryland	41	C	Moderate	33%
46	New Jersey	41	C	Moderate	33%
47	New York	41	C	Moderate	33%
48	Texas	41	C	Moderate	33%
49	California	42	C	Moderate	33%
50	Rhode Island	42	C	Moderate	33%
51	Nevada	43	C	Moderate	33%

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FAQ

Which state is easiest to get a physician license?

Missouri has the easiest physician license with a difficulty score of 38/100.

Which state is hardest to get a physician license?

Nevada has the hardest physician license with a difficulty score of 43/100.

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