I'm not really sure how our medical licenses work. Background: I'm doing a prelim medicine year in illinois right now. Next year, I'm off to Texas to start my neuro residency. Afterward, I'd like to have the option of practicing in Hawaii or returning to Illinois. I'm trying to see if I can take step III as soon as possible since I'd like to avoid the clinical skills exam and also take it while the medicine is still fresh. Illinois however requires finishing at lesat one year of post-grad training before taking step 3 while other states like Texas do not. States like Illinois also limit the number of attempts before passing while states like Florida do not. Some have told me that I can apply to get my license in a state like Florida so that I can take Step III now but still take the actual test in Illinois? Is this true? If I do get a license from one state, do I need to take another test to eventually work in another? for those who have taken step III, is the old adage pretty true: step 1 - 2 months step 2 - 2 weeks step 3 - 2 pencils I thought it was pretty accurate for step 1 and 2 and even got the same score on both.