Does the IMLC Really Make Licensing Faster?
Yes — in most cases. The Interstate Medical Licensure Compact (IMLC) streamlines multi-state medical licensure by centralizing verification, condensing paperwork, and enabling faster approvals. For many physicians, this reduces wait times from several months to just weeks.
How Much Time Can the IMLC Save?
Traditional state-by-state applications often take 8 to 12 weeks per license. By contrast, physicians using the IMLC can often complete the entire process — including eligibility verification and activation of multiple licenses — in under 30 days. Some state boards issue licenses within 3 to 5 business days of payment.
When Does the IMLC Speed Things Up?
The IMLC is particularly efficient when:
- Your State of Principal License (SPL) is known for fast verification
- You complete fingerprinting promptly
- You need licensure in 3 or more compact states
- You’re applying outside of peak processing times (e.g., not during match season or major holidays)
In these cases, the IMLC consistently outperforms traditional state applications in terms of speed.
What About the Initial IMLC Verification?
It’s true that the first step — getting your Letter of Qualification (LOQ) — can take 1 to 3 weeks depending on your SPL. But once your LOQ is issued, the process of obtaining licenses in other states is rapid and repeatable.
Does Every State Process IMLC Requests Equally Fast?
No. While the IMLC creates a standardized entry point, each participating state still processes licenses independently. Some issue licenses in under 48 hours, while others may take 1 to 2 weeks. However, all compact states agree to use your LOQ as proof of eligibility, eliminating many redundant verification steps.
When Might the IMLC Not Be Faster?
The IMLC may not be faster if:
- You only need a license in one compact state
- Your SPL is slow to process applications
- You already hold an active license in the target state
In rare cases, a direct state application may be more efficient — particularly if that state has a streamlined internal process or special expedited pathways (e.g., military or emergency provisions).
What About Non-Compact States?
The IMLC doesn’t apply. If you need a license in a non-member state, you’ll follow their traditional application process. Some physicians use a mix: the IMLC for participating states, and standard routes for others.
How Can You Maximize IMLC Speed?
- Submit fingerprints immediately after applying
- Use consistent and accurate data on all forms
- Choose an SPL with a reputation for fast processing
- Track status updates daily via the IMLC portal
Final Thoughts
In most scenarios, the IMLC will dramatically accelerate your ability to practice in multiple states — especially when time is money. For physicians working in telemedicine, locum tenens, or expanding their regional reach, the speed advantages are significant.
That said, speed still depends on planning. Complete every step promptly, verify your eligibility, and treat the IMLC as a strategic asset — not just a shortcut.