Interstate Medical Licensure Compact providing expedited licensure in 33 states in 2022

Last updated October 13, 2022 to add Connecticut and Ohio as states issuing compact licenses, and Rhode Island as the newest member of the compact. New York has also been added to the list of states that have introduced legislation to join the compact.

The Interstate Medical Licensure Compact Commission (IMLC) is now processing applications for expedited licensure in 33 states and one territory. This makes the process for obtaining a medical license in these 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 expedited licensure

There are currently 33 states and one territory accepting applications for expedited licensure:

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

*Because Connecticut, Oklahoma, and Vermont are not states of principle licensure (SPL), you can’t enter into the compact with a CT, OK, or VT license. However, you can get a license to practice in these states by entering the compact through another SPL state.

Other states that are part of the compact

The following states, territories, and districts are part of the compact, but have not yet implemented full participation:

  • District of Columbia
  • Indiana
  • New Jersey
  • Pennsylvania
  • Rhode Island

The following states have had legislation introduced to join the compact:

  • Massachusetts
  • New York
  • North Carolina


To qualify to participate in this program, a physician must satisfy the following requirements:

  • Possess an active, full, and unrestricted medical license in an SPL state and be a resident, have at least 25 percent of their medical practice, or be employed by an entity in one of those states
  • Be a graduate of a medical school accredited by the Liaison Committee on Medical Education, the Commission on Osteopathic College Accreditation, or a medical school listed in the International Medical Education Directory
  • Passed each component of the U.S. Medical Licensing Examination or the Comprehensive Osteopathic Medical Licensing Examination within three attempts, or any predecessor examinations accepted by the state medical board in which you hold your primary license
  • Successfully completed graduate medical education approved by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association
  • Hold an active, time-limited specialty certification or a lifetime specialty certificate recognized by the American Board of Medical Specialties or the American Osteopathic Association
  • Never been convicted, received adjudication, deferred adjudication, community supervision, or deferred disposition for a felony, gross misdemeanor, or crime of moral turpitude
  • Never held a medical license subjected to discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to non-payment of fees related to a medical license
  • Never had a controlled substance license or permit suspended or revoked by a state or the U.S. Drug Enforcement Administration
  • Not be under active investigation by a licensing agency or law enforcement authority in any state, federal, or foreign jurisdiction

For more information on the compact, visit or call Weatherby Healthcare’s licensing department at 866.831.3727 or view today’s locum tenens jobs in ILMC member states.

About the author

Spencer Sutherland

Spencer Sutherland is the senior public relations manager at CHG Healthcare Services and has been writing about healthcare for more than a decade.


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  • I am in PA and have bulk of my practice here but have IL and IA licenses too with some (minimal) work in those states. Can I apply for it ? What’s the status on PA, Will it be available soon??

  • Denying physicians without the dubious imprimatur of board certification of practicing in these states, simply denies needed access at a time of increasing burnout and retirement. Your tax dollars (residency) not at work!

    • Hi Mireya, I’m not familiar with any similar compact for PAs at the moment, but we’ll be sure to update readers if we receive any information about one in the future.

    • Eligibility requirements for physicians wanting to join the compact are listed on the IMLCC website under ‘FAQs’. If you are unable to find the answer to your question there, we recommend contacting your IMLCC state representative directly for the best information. This can also be found on the IMLCC website under ‘Contact’.

    • Thanks for your question. If by CS you mean a controlled substance, some states do require that component while others do not. CS is not part of the compact, but Weatherby does obtain it for physicians when the state requires it.

        • Yes, the Step 2 Clinical Skills (CS) exam will still count as a component if you took CK and CS. Although discontinued, the compact goes off of the records they have for each physician applying. For the same reason, they accept other exams that have also been discontinued such as the NBME.


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