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Covers: Physician (MD/DO)
Administered by Interstate Medical Licensure Compact Commission · Established 2015
Active Members
43
states + DC
Not Members
8
states
Professions
1
covered
Established
2015
year founded
The Interstate Medical Licensure Compact (IMLC) offers an expedited pathway for physicians to obtain licenses in multiple states. Rather than replacing existing state licensing, the IMLC streamlines the process through a Letter of Qualification, allowing physicians to practice across state lines more efficiently.
43 of 51 jurisdictions are active members. Click any state to view full licensing requirements.
| State | Status | Details |
|---|---|---|
| Alabama | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Arizona | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Colorado | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Connecticut | Active Member | Non-SPL member — can receive compact licenses but cannot serve as State of Principal Licensure |
| Delaware | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| District of Columbia | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Georgia | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Hawaii | Active Member | Non-SPL member — can receive compact licenses but cannot serve as State of Principal Licensure |
| Idaho | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Illinois | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Indiana | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Iowa | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Kansas | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Kentucky | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Louisiana | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Maine | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Maryland | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Michigan | Active Member | Michigan IMLC membership has a sunset provision effective March 28, 2026. Legislation expected to extend membership. As of March 2026, MI is temporari… |
| Minnesota | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Mississippi | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Missouri | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Montana | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Nebraska | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Nevada | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| New Hampshire | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| New Jersey | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| New Mexico | Active Member | IMLC legislation passed; pending full implementation as of March 2026 |
| North Carolina | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| North Dakota | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Ohio | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Oklahoma | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Pennsylvania | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Rhode Island | Active Member | IMLC legislation passed; pending full implementation as of March 2026 |
| South Dakota | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Tennessee | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Texas | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Utah | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Vermont | Active Member | Non-SPL member — can receive compact licenses but cannot serve as State of Principal Licensure |
| Virginia | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Washington | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| West Virginia | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Wisconsin | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Wyoming | Active Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Alaska | Not a Member | Not an IMLC member state |
| Arkansas | Not a Member | IMLC legislation passed; pending full implementation as of March 2026 |
| California | Not a Member | Not an IMLC member state |
| Florida | Not a Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| Massachusetts | Not a Member | IMLC legislation passed; pending full implementation as of March 2026 |
| New York | Not a Member | IMLC legislation passed; pending full implementation as of March 2026 |
| Oregon | Not a Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
| South Carolina | Not a Member | SPL (State of Principal Licensure) member — can issue and receive compact licenses |
State membership data verified against official compact website and state licensing board records. Last updated: March 2026.
Physicians apply through the IMLC Commission by selecting a State of Principal Licensure (SPL). The Commission verifies the physician's credentials and issues a Letter of Qualification. The physician then selects which member states they want licenses in, and those states issue full, individual state medical licenses on an expedited basis. Unlike nursing's multistate license, the IMLC results in separate state licenses — it just makes obtaining them faster.
For the most current requirements, visit the official IMLC website.
These 8 jurisdictions are not currently members of the Interstate Medical Licensure Compact (IMLC). Professionals must obtain a separate license to practice in these states.
Alaska, Arkansas, California, Florida, Massachusetts, New York, Oregon, South Carolina
The Interstate Medical Licensure Compact (IMLC) offers an expedited pathway for physicians to obtain licenses in multiple states. Rather than replacing existing state licensing, the IMLC streamlines the process through a Letter of Qualification, allowing physicians to practice across state lines more efficiently.
As of 2026, 43 states are active members of the Interstate Medical Licensure Compact (IMLC): Alabama, Arizona, Colorado, Connecticut, Delaware, District of Columbia, Georgia, Hawaii, Idaho, Illinois, and 33 more.
Physicians apply through the IMLC Commission by selecting a State of Principal Licensure (SPL). The Commission verifies the physician's credentials and issues a Letter of Qualification. The physician then selects which member states they want licenses in, and those states issue full, individual stat…
No, California is not currently a member of the Interstate Medical Licensure Compact (IMLC). Professionals must obtain a separate California license to practice there.
Yes, Texas is an active member of the Interstate Medical Licensure Compact (IMLC). Professionals with a compact privilege can practice in Texas.
No, Florida is not currently a member of the Interstate Medical Licensure Compact (IMLC). Professionals must obtain a separate Florida license to practice there.
No, New York is not currently a member of the Interstate Medical Licensure Compact (IMLC). Professionals must obtain a separate New York license to practice there.