SESK: Stuff Everyone Should Know · sesk.info/cdl-medical-certificate-24-months
What is the longest a regular DOT medical examiner's certificate can be valid?
24 months.
- 24 months ✔
- 12 months
- 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.
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.
- 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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