What is the Interstate Medical Licensure Compact?

What you need to know about the IMLC.

Providing care in multiple states is easier thanks to the Interstate Medical Licensure Compact (IMLC). Here’s what you need to know about the Compact, what states are involved, and how it impacts you.

Click here to go directly to our IMLC states map. 

What is the IMLC?

The Interstate Medical Licensure Compact (IMLC) is an agreement between multiple U.S. states and territories, providing an expedited pathway for physicians to obtain licenses to practice in multiple states. It allows the participating states and territories to more freely share licensing information using a streamlined process. In turn, the Compact makes it easier for physicians reach to the patients who need them most. 

The IMLC is overseen by the Interstate Medical Licensure Compact Commission, a group of state medical board executives, administrators, and attorneys from each of the participating states.

It is important to note that the IMLC is not a license. It is a system that simplifies the process of obtaining licenses in multiple regions with a single application. 

Questions regarding the current status and extent of these states’ and boards’ participation in the IMLC can be directed to the respective state boards.

What states are in the Interstate Medical Licensure Compact?

The IMLC states map below shows states in the U.S. currently accepting applications for expedited licensure. Current members of the Compact include 40 states, the Territory of Guam, and the District of Columbia.

Updated 4/29/2024.

  • Compact legislation introduced.
  • IMLC Member State serving as SPL processing applications and issuing licenses.
  • IMLC Member State non-SPL issuing licenses.
  • IMLC passed, implementation in process or delayed.
  • No status.

What does the IMLC mean for me?

For physicians, the IMLC means freedom – to easily and quickly work in different states and serve populations who need you. Most U.S. states and territories have agreed to the terms of the IMLC (see map above for details). 

If you want to practice medicine in multiple states or territories, the IMLC can help you gain the necessary licenses faster and with fewer roadblocks.  

“The biggest benefit for physicians will be the decrease in time it will take to receive licenses in multiple states, particularly, those physicians involved in telemedicine, locum tenens practices, and providing access to quality care in rural areas of the country.”

Do I qualify for the IMLC?

Approximately 80% of U.S. physicians meet the IMLC’s criteria. To participate, you must first apply to the Compact in the member state you live and commonly practice in, known as the State of Principal License (SLP). To qualify, at least one of the following criteria must apply:  

  • Your primary residence is in the SPL (State of Principal License). 
  • At least 25% of your practice of medicine occurs in the SPL. 
  • You are employed to practice medicine by a person, business, or organization located in the SPL. 
  • You use the SPL as your state of residence for U.S. Federal Income Tax purposes. 

In addition, you must also meet certain criteria (see below).  

You must:

Have graduated from an accredited medical school, or a school listed in the International Medical Education Directory or its equivalent.  

Have successfully completed ACGME- or AOA-accredited graduate medical education. 

Passed each component of the USMLE, COMLEX-USA, or equivalent in no more than three attempts for each component.  

Hold a current specialty certification or time-unlimited certification by an ABMS or AOABOS board. 

You must not:

Have any history of disciplinary actions toward their medical license.

Have any criminal history.

Have any history of controlled substance actions toward their medical license.

Currently be under investigation.

Once approved, you’ll receive a separate license from each state you plan to practice in. By eliminating the need for multiple applications, wait time for licensing is drastically reduced.

Need help navigating the IMLC?

Speak with one of our experts.

Connect With Us

Federal facts for you.

We are a Federal Supply Schedule Contract holder. 

Federal Supply Schedule (FSS) Contract: 36F79723D0086, Professional and Allied Healthcare Staffing, effective March 15, 2023, through March 14, 2028.

NAICS Codes:
  • 561320: Temporary help services. 
  • 621111: Offices of physicians. 
  • 621112: Offices of physicians, mental health specialists. 
  • 621399: Offices of all other miscellaneous health practitioners. 
  • 621330: Offices of mental health practitioners.


Once you and our client agree to move forward with your assignment, our privileging team will assist you and the client in gathering information required by the healthcare facility to grant clinical privileges.


We contact the facility’s Medical Service Office (MSO) for their application and requirements.


We will assist you by pre-populating the facility’s application and sending to the MSO.


We will assist the MSO by following up on requested items.


MSO will grant privileges based on your training and experience, and you will be able to start your assignment.

Headshot of Maggie Youmans

Maggie Youmans

Senior Vice President, Sales

As Senior Vice President, Maggie oversees several key specialty divisions and adjacent teams. With a demonstrated history of leading teams and developing individuals across the organization, she is dedicated to inspiring, challenging and empowering associates to achieve their personal and professional goals. 

Maggie earned degrees in marketing and management focused on consumer economics from the University of Georgia, Terry College of Business. She enjoys traveling with her husband to visit different bed and breakfasts. Together, they have been able to see the beauty within their own backyard and across the country.

Connect with Maggie on LinkedIn.

Headshot of Anne Anderson

Anne Anderson

Executive Vice President

"I'm passionate about the locum tenens industry - we make a real difference in the lives of both our heroic healthcare providers and the patients they treat."

Anne has been at the forefront of the evolution of locum tenens for more than 35 years. She’s a respected leader with expertise in corporate operations, risk management, credentialing, and travel services. Before joining Jackson + Coker, she served as Executive Vice President at Medical Doctor Associates, part of Cross Country Healthcare. 

An ardent industry advocate, Anne served several years on the Board of the National Association of Locum Tenens Organizations (NALTO), including two years as president. 

Anne received a bachelor’s degree in business administration from Spring Hill College. She is also a PADI open water diver and enjoys scuba diving. 

Connect with Anne on LinkedIn.