Why Do IMLC Applications Get Delayed or Rejected?
Even qualified physicians can run into issues when applying through the Interstate Medical Licensure Compact (IMLC). The process is detailed and fast — but only if everything lines up correctly. In this article, we’ll cover the most frequent mistakes applicants make and how you can steer clear of them.
What Are the Most Common IMLC Mistakes?
Here’s a breakdown of the top issues that cause delays or denials:
1. Mismatched Information
If your name, address, or license number is listed differently across systems, it triggers verification flags. For example, using “Robert Smith” in one document and “Rob Smith” in another can result in a rejection until it's resolved.
2. Choosing the Wrong State of Principal License (SPL)
Many applicants select a state that doesn’t meet SPL criteria. You can’t pick just any state you’re licensed in — it must meet at least one of the following:
- It’s your primary residence
- It’s where you do 25%+ of your clinical work
- Your employer is located there
- It’s your state of residence for tax purposes
Picking the wrong SPL leads to rejections before your application is even reviewed.
3. Submitting Incomplete or Outdated Information
Missing documents, expired credentials, or outdated board certifications are all red flags. The IMLC expects your submission to be fully up to date — including your NPI number, practice address, and licensing status.
4. Delaying Fingerprinting
Many applicants wait until after submitting their application to handle fingerprints — but this can create major delays. Since background checks can take 1–3 weeks, you should complete fingerprinting immediately after you apply.
5. Failing to Monitor Application Status
Some physicians assume everything is fine until they realize their application has been stalled for weeks. The IMLC portal updates regularly. It’s your responsibility to monitor your progress and follow up if your SPL isn’t moving things along.
6. Applying Without Meeting All Eligibility Criteria
Some applicants start the process hoping to slide through eligibility — only to get rejected. Don’t apply if you:
- Have unresolved disciplinary actions
- Lack board certification or recent exam passage
- Don’t have a qualifying SPL
Not only will your application be denied, but you’ll also lose the non-refundable application fee.
7. Using Different Contact Info on External Profiles
If your state licensing board, NPI profile, and IMLC application have different emails or phone numbers, it can slow verification. Make sure every profile you control has consistent, current contact info.
8. Skipping the State License Step
Getting your Letter of Qualification (LOQ) isn’t the end — you must still select and pay for each state license. Some physicians mistakenly think the LOQ grants automatic multistate licensure. It doesn’t. You must complete the second half of the process.
How Can You Avoid These Mistakes?
Use this quick prevention checklist:
- Double-check all submitted information for consistency
- Choose a valid SPL based on IMLC rules
- Prepare fingerprinting and background check documents early
- Keep copies of every document you upload
- Log into the IMLC portal weekly to check status
Does the IMLC Let You Fix Mistakes?
In some cases, yes. If your SPL flags a correctable issue, you’ll receive a request for clarification or correction. You must respond quickly — failing to do so can result in denial or closure of your file. Always monitor your email and portal messages closely.
Should You Work With a Licensing Service?
If your situation is complex — multiple licenses, foreign credentials, prior name changes — a licensing concierge service can help you avoid common traps. While not required, professional support can reduce the risk of human error.
Final Thoughts
The IMLC is an efficient tool for multi-state licensure — but it assumes you follow the process precisely. The most common mistakes aren’t due to eligibility but due to inconsistency, delays, or lack of attention to detail.
Be methodical, thorough, and proactive. That alone can put you ahead of the majority of applicants — and get you licensed faster.