Multistate Licensing

Our IMLC Reciprocity Licensing Service provides physicians with a faster, more efficient pathway to multi-state medical licensure through the Interstate Medical Licensure Compact. Instead of repeating the full credential verification process for every state, eligible physicians can utilize the Compact’s centralized system to streamline approval across participating jurisdictions. This significantly reduces administrative redundancy and accelerates the overall physician licensing timeline.

IMLC compact Steps

The Interstate Medical Licensure Compact (IMLC) process begins by determining your eligibility through your State of Principal License (SPL). Once eligibility is confirmed, your core credentials are verified through the Compact’s centralized system. This eliminates the need to repeat primary source verification for each participating state.

After receiving your Letter of Qualification from the Compact Commission, you can select the participating states where you wish to obtain licensure. Each chosen state then conducts its final review and issues your individual medical license upon approval.

IMLC Licensing Costs: Transparent Pricing for Multi-State Licensure

Understanding the cost of obtaining an IMLC license is essential for physicians planning to practice across multiple states. Our goal is full transparency, so you know exactly what to expect at each step of the Interstate Medical Licensure Compact process.

• • Initial IMLC Application Fee – Convert your primary medical license to an IMLC SPL license: $700

• • Subsequent IMLC State Applications – Add additional states through the Compact: $100 per state

• • State Medical Board Fees vary per state: $75 to $1,425 (contact MLS for a complete list)

• • Criminal Background Check – Required for initial SPL conversion: $12 to $76

• • Miscellaneous Verification Fees – For initial conversion and additional states: $0 to $300 (varies by state and physician)

• • Medicallicensingsolution.com Service Fee – Initial Conversion: $750

• • MedLicense.com Service Fee – Adding Additional Licenses: $200 per license*

With our IMLC licensing service, you get full support at every stage.

Critical Considerations for the IMLC Licensing Process

It’s a 30 days journey.

The Interstate Medical Licensure Compact (IMLC) process is highly time-sensitive. Applications must be completed within 30 days of submission to the IMLC, sponsoring state, or additional states. Failure to comply within this window can result in application expiration and loss of fees. In some cases, certain states may even report this as a denial of licensure to the NPDB-HIPDB and FSMB as a “Board Action,” which can affect future licensing opportunities.

It’s important to understand that individual State Medical Boards retain final authority. Even if you meet the IMLC requirements, boards can review exam score history, board certification type, malpractice history, and other factors before approving your license. The IMLC only facilitates the process; it does not approve or deny licenses. Physicians attempting to reinstate licenses in an “Add-On” IMLC state must follow that state’s standard reinstatement, reactivation, or restoration process.

Physicians seeking multi-state licensure using the IMLC should plan strategically. For example, adding 31 new states while simultaneously processing licenses in 29 slower boards can increase verification costs significantly. The math is as follows:

• • Average license verification cost: $24.19

• • 31 new licenses × $24.19 = $750

• • 29 slower boards × $750 = $21,750

Proper planning and a step-by-step approach can reduce out-of-pocket expenses while securing licensure in the majority of states within a 2 ½ to 4 ½ month timeframe.

IMLC Compact: Participating States vs Non-Participating States

It’s important to understand the distinction between participating states and non-participating states. Participating states have agreed to share physician licensure data through a centralized hub, allowing for faster credential verification and streamlined application processes. In contrast, non participating states operate independently. Each non-compact state requires a traditional, state-by-state application process. Understanding this distinction reduces cost.

IMLC participating States

TX, FL, IL, OH, GA, MI, WA, AZ, TN, IN, MD, WI, CO, MN, AL, LA, KY, OK, CT, UT, IA, NV, MS, KS, NE, ID, WV, NH, ME, MT, DE, SD, ND, DC, VT, WY

Non-Participating States

CA, NY, PA, NC, NJ, VA, MA, MO, SC, OR, AR, NM, HI, RI