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Interstate Medical Licensure Compact States List [and Guide for 2021]

IMLC member states as of September 2020

Last updated March 2, 2021 to add New York as a state that has introduced compact legislation.

The Interstate Medical Licensure Compact (IMLC) makes the process for obtaining a medical license in 28 U.S. states simpler if you already hold your primary license in one of the participating states. The IMLC creates another pathway for licensure and does not otherwise change a state’s existing Medical Practice Act. The IMLC also adopts a uniform and stringent standard for licensure and affirms that the practice of medicine occurs where the patient is located at the time of the physician-patient encounter. Upon licensure via the IMLC, the physician will be under the jurisdiction of the medical board in the state where the patient is located.

States currently accepting applications for multi-state licensure

There are currently 28 states and one territory accepting applications for multi-state licensure:

  • Alabama
  • Arizona
  • Colorado
  • Georgia*
  • Guam
  • Idaho
  • Illinois
  • Iowa
  • Kansas
  • Kentucky
  • Maine
  • Maryland
  • Michigan
  • Minnesota
  • Mississippi
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • North Dakota
  • Oklahoma*
  • South Dakota
  • Tennessee
  • Utah
  • Vermont*
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming

*Georgia, Oklahoma, and Vermont are not considered “States of Principle Licensure.” This means you cannot enter into the compact through a GA, OK, or VT license. However, you are able to get a license issued for these states through the compact once you have entered into the compact via another State of Principle Licensure.

Future state board participation:

The following states and districts have passed legislation to be part of the compact, but implementation has been delayed.  Questions regarding the current status and extent of these states’ and boards’ participation in the IMLC should be directed to the respective state boards:

The following states have introduced legislation to join the compact:

Qualification for Interstate Medical Licensure Compact (IMLC)

To determine if you qualify to participate in this program, review the requirements on the IMLC’s Do I Qualify? page.

For more information about the compact, watch the webinar video below featuring Dr. Jon Thomas, former chair of the IMLCC. You can also visit the IMLCC’s website at

If you’re interested in obtaining licensure through the compact, please reach out to your CompHealth representative or call 888.212.0816.


About the author


Chad Saley

Chad Saley is a public relations manager at CHG Healthcare, the parent company of CompHealth.


Click here to post a comment

    • Check out the IMLC site linked in the beginning of this post. They have more of the details around the current status of the other states.

  • If an MD moves from an SPL to an non-participating state, can you continue to hold the IML if you continue to pay the fees to the SPL state?

    • For the most updated information, we recommend contacting the specific state for which you have questions about. You can find this in the ‘Contact us’ section of the IMLC website (linked to in the article).

  • If I have active licenses in Texas and Oklahoma do I qualify now for the other participating states like Michigan?

    • Hello Dr. Green, currently Texas is not listed as part of the compact and Oklahoma is not a State of Principle Licensure, which means you cannot enter into the compact through an OK license. However, I would recommend contacting your representative for the IMLC to confirm this. You can do that by going to the IMLC website and clicking the ‘contact’ tab.

  • If I have a Medical License from Washington Medical Board ( MD ) , can I participate and get a Maryland medical license?


    • Hello Dr. Parmar, we recommend contacting the IMLC directly for the best information for your situation. We’ve linked the website in this article, and in the ‘Contact’ tab you can find the right person to contact based on your state.

  • I am currently in the Navy and I am Board certified in Emergency Medicine. I will finish my stay in the Navy in June 2022. I am currently licensed in Alabama. Since I am in the Navy, I do not practice or live in Alabama. Does I qualify for multi-state licensure?

    • Hello Dr. Bowlin, to best answer your question, we recommend contacting the Alabama representative for the IMLC. You can find this contact information on the IMLC website (linked in our article) and clicking on the ‘Contact’ tab.


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