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


Last updated Oct. 18, 2021 to change Georgia to a State of Principle Licensure.

The Interstate Medical Licensure Compact (IMLC) makes the process for obtaining a medical license in 29 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.

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States currently accepting applications for expedited licensure

There are currently 29 states and one territory accepting applications for expedited licensure:

  • Alabama
  • Arizona
  • Colorado
  • Georgia
  • Guam
  • Idaho
  • Illinois
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Michigan
  • Minnesota
  • Mississippi
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • North Dakota
  • Oklahoma*
  • South Dakota
  • Tennessee
  • Utah
  • Vermont*
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
IMLC member states as of July 2021

*Oklahoma and Vermont are not considered “States of Principle Licensure.” This means you cannot enter into the compact through a 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:

IMLC quick facts

Average number of licenses obtained: 3

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Approval rate for applicants: 90%

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Average wait time for license: 19 days

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51% of licenses available within a week

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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 informational video below or visit the IMLCC’s website at

Where to go for help

For more instructional videos on how the IMLC works, view the IMLC video playlist or click on the links below:

If you’re interested in assistance in obtaining licensure through the compact, please reach out to your CompHealth representative or call our licensing department at 800.328.3065.


About the author

Chad Saley

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


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    • 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.

    • Hello, there is a similar compact called the Nurse Licensure Compact for nursing specialties, and more information can be found on the National Council of State Boards of Nursing website.

  • Hi there,

    Thank you for sharing the info.

    On the IMLC website, it says:
    In addition, at least ONE of the requirements below must apply:

    At least 25% of your practice of medicine occurs in the SPL
    What exactly does it mean? Does the 25% of medical practice mean the number of shifts I do, or 25% of patient headcounts, or 25% of reimbursement/income? Or 25% of the time I work at the state?

    I would really appreciate it if you could let me know.

    Thank you!

    • Hello Joan, I would recommend contacting the IMLC contact in your state directly for specific information on this requirement. They will have the best information on these details. The contact information can be found under the ‘Contact’ tab on the IMLC website, which is linked to in this article.

    • Thank you for your question! Yes, applicants will have to pay the fees for each state they want a license in. The process requires physicians to pay a $700 to enroll with the IMLCC. After they’re issued a letter of qualification, they will select the states they want to obtain licenses in and pay the fees for those states. The list of fees can be found on the IMLCC website.

  • I am recently holding a “retired : license in FLorida. Can I apply for reciprocity in the state of New York? And How Long does it take to ge a license? than k you

    • Hello, currently New York has not officially joined the compact, though there has been legislation introduced. For questions about how long it takes to obtain licenses, we recommend checking with your state medical board directly.


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