50-State Guide

Guam

At a Glance

CategoryDetails
IMLC MemberYes
FCVSRequired
NP Independent PracticeNo
PA Independent PracticeNo
Physician-Owned PC AllowedYes
Max NPs per PhysicianNo Limit
Max PAs per PhysicianNo Limit

Licensure

ItemCost
Initial License$300
Renewal Fee$300
Renewal CycleBiennial
Annualized Cost$150
Controlled Substance RegistrationNo

Endorsement & Reciprocity

Not yet researched — whether this state offers license-by-endorsement or reciprocity, and its prerequisites, is being verified.

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APC Supervision

In-state requirement for supervising physicians: Must be licensed in Guam.

Nurse Practitioners

NPs require physician supervision in Guam.

  • Maximum NPs per physician: N/A

Physician Assistants

PAs require physician supervision in Guam.

  • Maximum PAs per physician: N/A

CME & Training Requirements

CME & training requirements for Guam are being compiled; the structured data reflects current verified values.

Fingerprint Requirements

Fingerprint requirements for Guam are being compiled; the structured data reflects current verified values.

Malpractice Insurance

Malpractice insurance: Not yet verified — whether this state mandates professional liability coverage as a condition of licensure is being researched.

Unverified Report an error

Giving Up a License

  • Status after lapse: lapsed, becoming null and void (requiring new-applicant reapplication) if not cured within the 2-year licensure period
  • Lapse consequences: A $150 penalty fee (in addition to the renewal fee) applies once a license lapses. Anyone practicing medicine while lapsed is deemed an illegal practitioner subject to criminal prosecution under 10 GCA ch. 12, section 12230.
  • Reinstatement: If the physician cures the lapse (pays the $150 penalty plus renewal fee and meets renewal requirements) within the 2-year licensing period, the license continues. If not cured by the end of that 2-year period, the license becomes null and void and the physician must reapply for licensure as a brand-new applicant (no streamlined reinstatement path).

Verified 2026-08-14 Report an error

Quirks & Gotchas

Detailed Quirks & Gotchas notes for Guam are being compiled; the structured data reflects current verified values.

Resources

Sources

Data compiled from territorial medical board websites, FSMB, and regulatory filings.

Have a correction or update? Let us know.