MSMS Endorsement Application: Michigan Board of Medicine and Board of Osteopathic Medicine & Surgery

Thank you for your interest in serving on the Michigan Board of Medicine or Board of Osteopathic Medicine & Surgery.  The MSMS Liaison Committee with Medical Licensure Boards will consider your answers to the following questions and statements, along with your curriculum vitae and references, when making recommendations for endorsement.  All information given will be held in strict confidence and only the MSMS Board of Directors’ final candidate names for endorsement are submitted to the Office of the Governor for consideration.

Candidate Information

After submitting this form, please email your executive curriculum vitae to   Additionally, three letters of recommendation are required and the authors may email them directly to  

For questions, please contact Anne’ka Marzette at or (517) 336-7536.