Work in Lithuania as a foreign doctor, nurse or AHP (2026)
In Lithuania one body, VASPVT, both recognises non-EU health qualifications and issues the practice licence. Here is the route in order, with what the official sources say and where they are silent.
Overview
To work as a doctor, dentist, nurse or midwife in Lithuania with a qualification gained outside the EU, you first have your professional qualification recognised by the State Accreditation Service for Health Care Activities under the Ministry of Health (VASPVT), and then apply to VASPVT for a practice licence, such as a medical practice licence or a general nursing practice licence.
Pharmacists and pharmacy technicians are handled outside this VASPVT service.
This page is for you if you trained outside the European Economic Area, for example in India, the Philippines, Nigeria, Pakistan or Kenya, or in the UK since Brexit, including if you work in the Gulf now. It covers the recognition application, the possible aptitude test, the Lithuanian language category, the licence, the residence permit and what the official sources do not publish.
VASPVT's service description for qualifications gained in third countries says it takes a final reasoned decision as soon as possible and no later than 3 months after receiving all the required documents. It can recognise your qualification, refuse it with reasons, or set a compensatory measure, which for this route is a professional aptitude test. Once recognised, you may work in the same profession on the same terms as Lithuanian citizens.
Language is a condition of the licence. Lithuania's Government Resolution No. 1688 applies the second state language category, which matches CEFR level B1, to health care workers who deal with people constantly in their work. VASPVT's licensing guidance asks for a certificate confirming the second category. This is a lower formal level than in Latvia or the Netherlands, but you still treat and document in Lithuanian.
If you trained in the EU, EEA or Switzerland, VASPVT runs separate recognition services for doctors, dentists, general care nurses and midwives under Directive 2005/36/EC, and for temporary and occasional services. VASPVT also publishes separate information for people whose qualifications were gained in the United Kingdom.
The health system
VASPVT is a budgetary institution under the Ministry of Health. Its work covers licensing of health care specialists and institutions, recognition of professional qualifications, accreditation, patient rights and quality supervision.
Health professionals practise on a licence issued by VASPVT. Its public lists cover medical practice, nursing practice, midwifery practice, dental practice, oral care practice, personal health care practice and public health care licences.
Recognition and licensing are separate steps. Recognition decides that your foreign qualification matches the Lithuanian one; the licence is what allows you to practise. Licence applications are made through the electronic register of practice licences (LICREG).
Licence holders must keep to the licence conditions and maintain their professional qualification. VASPVT's guidance on continuing professional development changed on 1 December 2023, and its service description for nurses says licence holders report their professional development and practice every five years.
Academic recognition of foreign higher education is a separate function of the Centre for Quality Assessment in Higher Education (SKVC). VASPVT's 2021 service description listed an SKVC certificate among the documents for third-country recognition; its 2023 information sheet does not, so ask VASPVT before you order one.
Hospitals in Lithuania
Regulators in Lithuania
Also responsible here (no separate guide yet)
- Centre for Quality Assessment in Higher Education (SKVC)Academic evaluation and recognition of foreign higher education qualifications
The route, step by step
1. Confirm that VASPVT handles your profession
VASPVT recognises regulated professional qualifications under the Ministry of Health, including doctor, dentist, general care nurse and midwife, but not pharmacist or pharmacy technician. Check VASPVT's list of administrative services for the exact service that matches your profession and where you trained, because EU and third-country qualifications follow different procedures.2. Prepare your recognition documents
VASPVT lists proof of citizenship, documents for any change of name, evidence of the formal qualification gained in a third country, documents showing the length and subjects of your training with credits or hours per subject, evidence of work experience, any other documents on your qualification, and a power of attorney if someone applies for you. The course content document is the one most often missing, so request it from your university early.3. Translate into Lithuanian
VASPVT requires Lithuanian translations of the documents, certified by the translator's signature or a translation agency's stamp. Its licensing service description also says foreign documents must be legalised or carry an apostille, unless a treaty or EU law says otherwise.4. Apply to VASPVT for recognition
Submit the application form for recognition of qualifications gained in third countries with your documents. VASPVT's 2023 information sheet gives its email address [email protected] for applications; earlier guidance described submission in person or by post to A. Juozapavičiaus g. 9, Vilnius. We did not find a recognition fee in the official sources we could access.5. Receive the decision within 3 months
VASPVT decides no later than 3 months after receiving all required documents. The decision is issued as an order of VASPVT's director and can be delivered in person, by email or by post. It either recognises the qualification, refuses it with reasons, or sets a professional aptitude test.6. Pass the aptitude test if one is set
The aptitude test is the compensatory measure for third-country qualifications in VASPVT's service description. The official pages we could access do not describe its format, frequency or fee, so ask VASPVT for these details when you receive the decision.7. Reach Lithuanian category II
Government Resolution No. 1688 sets three state language categories, matching CEFR A2, B1 and B2, and applies the second (B1) to health care workers who deal with people constantly. The state language exam is run by the National Education Agency (NŠA), and its online registration requires a Lithuanian personal code.8. Apply for your practice licence
Log in to LICREG and submit the licence application with your passport, qualification and recognition documents (not needed if VASPVT recognised your qualification), a medical certificate no more than 3 months old and your state language certificate. VASPVT's 2023 information sheet gives the state fee as €45 where a foreign recognition procedure was applied, paid before the licence is issued.9. Get your residence permit
With a job offer, you apply to the Migration Department for a temporary residence permit or an EU Blue Card, usually through an external service provider in your country. In India, the provider accepts applications only on certain grounds, including highly skilled work and family reunification, so check the provider's page for your country first.
Language requirements
- Lithuania does not use IELTS or OET for health professional licensing. The language requirement is the state language, Lithuanian.
- Government Resolution No. 1688 defines three state language proficiency categories: the first matches CEFR A2, the second B1 and the third B2.
- The second category applies to employees in education, culture, health care, social protection and other fields who must constantly communicate with people or fill in documents at work.
- VASPVT's licensing guidance asks for a state language certificate confirming the second category. Its 2023 information sheet for people arriving from Ukraine allowed them to start with proof that they had begun learning Lithuanian and to submit the certificate within one calendar year of the licence; that concession was written for Ukrainian applicants.
- The categories do not apply to people who completed secondary, post-secondary or higher education in Lithuanian, or who passed the Lithuanian state or native-language school-leaving exam.
- The exam is run by the National Education Agency. Registration through its 'Egzaminai eksternams' system needs a Lithuanian personal code. We could not confirm the exam fee or dates from the pages we could access.
Visas
Temporary residence permit for work
The Migration Department decides on temporary residence permits. Its fee for examining an application and deciding on the permit is €160 in the general order or €320 urgently, plus €45 (or €90 urgently) to personalise a new permit.
EU Blue Card
Work in Lithuania, a platform promoting Lithuania to highly skilled professionals abroad, describes the EU Blue Card as a residence and work permit for highly qualified non-EU citizens, valid for up to 3 years and extendable for a further 3, with the right to bring family and to apply for permanent residence after 5 years. We could not confirm the current salary threshold from an official page we could access.
Where to apply from abroad
The Migration Department works through external service providers. In India, since 1 March 2024 the provider accepts applications only for family reunification, highly skilled work, study and research, intra-company transfers and teaching or research contracts, and charges a €90 customer service fee. In the Philippines the provider's fee is €125.
National (D) visa
The Migration Department charges €140 to examine an application for a national (D) visa. Family members of EU, EFTA and Lithuanian citizens and children under 16 are among those exempt.
Changing employer
A permit for work is tied to your employer and job. The Migration Department charges €100 to examine an application to change employer or job function with the same employer.
Permanent residence
The fee for examining an application for a long-term resident's permit to reside in the EU is €160, or €320 urgently. The eligibility conditions are set by the Law on the Legal Status of Foreigners; check them with the Migration Department.
Pay
We could not confirm an official, current national pay table for doctors or nurses in Lithuania from a government page we could access. Pay is set by the employer, in public and private institutions alike. Ask for the gross monthly salary, the pay coefficient or band and any supplements in writing before you accept an offer.
| Role or band | Pay |
|---|---|
| DoctorsNo official national table confirmed for 2026. | Set by employerNo official national table confirmed for 2026. |
| Nurses and midwivesNo official national table confirmed for 2026. | Set by employerNo official national table confirmed for 2026. |
| DentistsMuch dental care is private. | Set by employerMuch dental care is private. |
| Blue Card applicants | Must meet the Blue Card salary thresholdConfirm the current figure with the Migration Department. |
Key terms in Lithuania
Questions
VASPVT, the State Accreditation Service for Health Care Activities under the Ministry of Health. It recognises qualifications in professions under the Ministry of Health except pharmacist and pharmacy technician, and it also issues the practice licence.
Its service description says no later than 3 months after receiving all the required documents. Learning Lithuanian, any aptitude test and the licence application come on top.
Possibly. VASPVT can recognise your qualification, refuse it, or set a professional aptitude test as a compensatory measure. The official pages we could access do not publish the test format or fee.
The second state language category, which Government Resolution No. 1688 matches to CEFR B1 and applies to health care workers who deal with people constantly. VASPVT's licensing guidance asks for a certificate confirming the second category.
No. Lithuania licenses health professionals on Lithuanian, not English. English tests are not part of the VASPVT recognition or licensing requirements.
Yes, into Lithuanian, certified by the translator's signature or a translation agency's stamp. VASPVT's licensing guidance also asks for legalisation or an apostille on foreign documents unless a treaty or EU law removes that need.
VASPVT's 2023 information sheet gives the state fee as €45 where a foreign recognition procedure was applied. We did not find a separate recognition fee in the official sources we could access.
No. Recognition confirms that your qualification matches the Lithuanian one. You then apply through LICREG for a licence, such as a medical practice licence or general nursing practice licence, with a medical certificate and your language certificate.
Yes, but the external service provider in India has accepted applications only on certain grounds since 1 March 2024, including highly skilled work and family reunification. Its customer service fee is €90, on top of the Migration Department's €160 permit fee.
VASPVT's recognition services exclude pharmacists and pharmacy technicians. Their recognition is handled under a separate procedure, so check with the Ministry of Health before you apply.
Sources
- 1VASPVT: recognition of professional qualifications (administrative services)
- 2VASPVT: recognition of professional qualifications gained abroad
- 3VASPVT: specialist licensing
- 4VASPVT: licences of health care specialists
- 5VASPVT service description: recognition of qualifications gained in third countries (archived 2021)
- 6VASPVT information sheet: recognition and licensing for people from a third country (2023, archived)
Show all 15 sourcesShow fewer sources
- 7VASPVT service description: general nursing practice licence (archived 2019)
- 8Government Resolution No. 1688: state language proficiency categories
- 9National Education Agency: Lithuanian language exams for foreigners
- 10National Education Agency: exam registration
- 11Migration Department: state fees for residence permits
- 12Migration Department: state fees for visas
- 13Migration Department: services in India
- 14Migration Department: services in the Philippines
- 15Work in Lithuania: EU Blue Card
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