I spent the greater part of yesterday evening going down a rabbit hole into Paul Bowary's case.
tl;dr IMG resident takes the Step 3 licensing exam (the last of 3 to be able to practice as a physician in the states), fails twice. Fakes a score report to show that he passed, and applied for a license. There was a lot of back and forth between the USMLE and the courts and in the end, the resident successfully dragged it out long enough that he took the Canadian medical exam (which is accepted in Rhode Island but not in all states) and ended up getting his license to practice by circumventing the Step exams entirely.
He's still practicing today. as a psychiatrist.
A wonderful case study in personality disorders.