All You Need to Know About the Interstate Medical Licensure Compact

There’s a lot of hype right now with the excitement over the Interstate Medical Licensure Compact (IMLC) officially accepting applications. What does this mean for you and is your state part of the compact? We’ve got all the details here.

In an effort to reduce physician shortages, especially in rural and underserved areas, the Interstate Medical Licensure Compact (IMLC) will speed up and streamline the licensing process for physicians to practice in multiple states.

This legislation could increase patient access to care and also relieve the burden of overwhelmed physicians. The Compact could also be a huge development for physicians who provide services through telemedicine and for facilities that need to use these virtual services to improve patient care.

While 22 states have enacted the compact licensure legislation there are only twelve compact states in which a doctor can carry their State of Principle Licensure (SPL) which is required to get a license in another compact state. This is due to some issues with all 22 states being able to do FBI background checks. The states and the IMLC are working through this so more states can be SPLs.

The twelve states currently accepting applications are: Alabama, Arizona, Idaho, Illinois, Iowa, Kansas, Montana, Nebraska, New Hampshire, West Virginia, Wisconsin and Wyoming.

Colorado, Minnesota, Mississippi, Nevada, Utah are considered SPLs but are still currently preparing to accept applications for verification. Check back soon to see an updated list of active SPLs.

View all the 22 states who are participating in the Compact and see which states have proposed legislation on this map.

  1. You must be licensed and living in Alabama, Arizona, Idaho, Illinois, Iowa, Kansas, Montana, Nebraska, New Hampshire, West Virginia, Wisconsin or Wyoming and carry a State of Principle Licensure (SPL) for one of these states. This is required to get a license in another state.
  2. You must be board certified.
  3. To qualify for an SPL in one of the eight states, you must hold a full, unrestricted medical license in one of the current SPL states AND at least one of the below must apply:
    • Your primary residence is in the SPL
    • At least 25% of your practice of medicine occurs in the SPL
    • Your employer is located in the SPL
    • You use the SPL as your state of residence for U.S. federal income tax purposes

If you qualify using the above criteria there is a simple process to apply online with only a few documents needed. Your SPL state will ask for fingerprints and run a background check. Once completed, if everything is compliant, you will receive a Letter of Qualification.

Once you receive your Letter of Qualification you can apply through the IMLC website for licenses in any of the current 22 compact states with the exception of Pennsylvania.

When the initial application is submitted to the IMLC there is a $700 fee. Once you receive the Letter of Qualification you can choose to get a license in as many participating compact states as you wish. The $700 fee is only charged one time, and is not charged for each state you wish to get a license. However, the $700 licensing application fee must be paid again after 365 days if you wish to apply for the Compact license again.

Once the compact states are selected in which you wish to receive a license, the state fee for each state will be paid to the IMLC who will then remit the payment to the state.

If during the first application you do not select all states, your Letter of Qualification is good for 365 days after issuance so you can go back and apply for additional states. This includes states that may get added in that 365 days to the list of compact states. If you apply for additional states after the initial application there is a $100 processing fee. 

Please let us know if you’re interested in future job opportunities in the compact states. As you now know, we can get you licensed quickly!

“ applauds and supports the Federation of State Medical Boards and its Interstate Medical Licensure Compact as it aligns with our mission to improve healthcare by providing patients with access to quality medical care. The Compact will aid the thousands of physicians we staff in obtaining multiple state licenses more quickly, enabling them to fill more coverage gaps in areas of need and see patients quickly. As the physician shortage becomes a growing problem in the United States while patient demand increases, the Compact will help improve patient access to physicians and medical care. is eager to support this legislation and the important healthcare reformation it brings.” ~Chris Franklin, President of