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After completing his academic training, the newly minted medical doctor strove to obtain a license as a general practitioner in Hersfeld. For this purpose he directed the relevant request on December 19, 1836 to the appropriate authority in Fulda: the Higher Medical Council. In their requested response, the district administrator Karl Hartert and the district doctor Dr. Zins expressed the concern that an additional local doctor would present a substantial income reduction for the three doctors already practicing there [in Hersfeld], who could hardly make a living as it was.

Apparently the three doctors already established in Hersfeld had brought to bear all their influence on the head of the administration of the administrative district [Landkreis] in order to draw him to their side. In his response, the district doctor had let it be known that his negative answer had a lot to do with the person of the applicant, i.e., with his being a Jew. In his eyes – and in those of his three Hersfeld colleagues – this fact meant a competitive advantage in attracting patients, since the applicant "is the son of an Israelite [a Jew], whose father will most likely not refrain from providing his son with customers in any way he can."

However, the Hersfelders did not get away with this conspiratorial rationale for their negative response. As a result, Dr. Carl Dellevie, M.D. received his license as a general practitioner and obstetrician on March 28, 1837, and so was able to open a practice in Hersfeld. For this purpose he purchased the house at 4 Linggplatz (now a watch and jewelry dealer with the name of Laufer. Within just a few years, Carl Dellevie had apparently earned for himself a good reputation, for in 1843 he was offered the position of attending physician (school doctor) for the Hersfeld Gymnasium.