What is the longest a regular DOT medical examiner's certificate can be valid?

24 months.

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  1. 24 months ✔
  2. 12 months
  3. 5 years

Why: Drivers must be examined and certified by a medical examiner at least every 24 months. Some conditions, like insulin-treated diabetes, need a yearly exam.

Huh, didn't know that: Since June 23, 2025, FMCSA sends new medical certificates to the state electronically, and the state posts the driver as certified.

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Why was the truck sent to the doctor? It had a bad case of the brakes.
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References

Answer: 24 months. Drivers must be examined and certified by a medical examiner at least every 24 months. Some conditions, like insulin-treated diabetes, need a yearly exam.

  1. 49 CFR 391.45 Persons who must be medically examined and certified (eCFR) www.ecfr.gov/current/title-49/section-391.45
    Any driver who has not been medically examined and certified as qualified to operate a commercial motor vehicle during the preceding 24 months
    Checked 2026-10-10.

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