Medical Enforcement & Licensure System | Mississippi State Board of Medical Licensure

Mississippi State Board
of Medical Licensure

Medical Enforcement & Licensure System

Procedures

Enter the information requested in each section of the form as completely and accurately as possible.
You will have the option to upload supporting documentation at the end of this wizard.
If you have questions regarding how to fill out/submit the complaint form you may contact the Complaint Coordinator.

New Complaint

If you wish to submit a new complaint, click here.

Resume Complaint

If you have started a complaint previously and have the confirmation number available, enter it below and click the Go! button to resume.

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