If it's any help, I just went through all this in Phuket on a tourist Visa , I got a tm 30 from my hotel, went to immigration in Patong with my passport, 2 passport photos and the tm 30, paid 500baht and
*****
minutes later I had a residence certificate, went to the doctors and got a medical certificate for 100baht, my only problem was there was a 3 months waiting list at the DLT, so I paid an agent to organise an early appointment, 3 days later I had a Thai car licence, I think I had to pay about 300baht at the DLT for that licence and the next day I went in to do my bike licence, paid another 300baht and it was done and dusted, I arrived in Thailand on the 8th November, by the 20th November I had both licences, all done whilst on a tourist visa, so I am not sure about some of the feedback you are getting here, maybe its different in other provinces. Good luck.