http://www.ecfmg.org/eics/index.html Since 1 July 1986, ECFMG has required primary source verification of the final medical diploma for applicants for ECFMG certification.
http://www.ecfmg.org/cert/index.html ECFMG Certification The certification process begins when you apply to ECFMG for a USMLE/ECFMG Identification Number.