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MD State Licensure Documentation

Third parties processing state licensure paperwork on behalf of MD alumni, please submit your request along with a signed consent form by the physician to:

Office of Student Records
Wake Forest Baptist Health
PO Box 573183
Winston Salem, NC 27157
studentrecords@wakehealth.edu
Fax – 336-716-9593

Alumni Request Form (pdf)

Quick Reference

Student Records

Phone 336-716-4264
Fax 336-716-9593

Contact
studentrecords
@wakehealth.edu

Hours
Mon-Fri – 9:00-4:00

Location:

Bowman Gray Center for Medical Education, 1st Floor, 475 Vine St.

Mailing Address:

Office of Student Records
Wake Forest Baptist Health
PO Box 573183
Winston Salem, NC 27157

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Last Updated: 03-24-2018
Wake Forest Baptist Ranked among Nation’s ‘Best Hospitals’  25 Years in a Row by U.S. News & World ReportComprehensive Cancer Centers National Designation is Renewed2017-2018 Best DoctorsNursing Magnet StatusJoint Commission Report

Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

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