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To operate ANY vehicle which requires a CDL of ANY class in ALL states (this is federal law - it doesn't vary by state), the driver must have, along with the appropriate class of CDL (A, B, C), a DOT Medical Card. However, this is assuming you're were referring to a Class C CDL - several states issue a non-CDL Class C licence.

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Q: Does a Class C driver need a medical card to drive in California?
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