How Long Does the IMLC Take From Start to Finish?
For physicians who meet all eligibility criteria and provide clean, complete documentation, the Interstate Medical Licensure Compact (IMLC) can take as little as 2 to 4 weeks from application to multi-state licensure. But that’s a best-case scenario. Realistically, the timeline depends on several variables — many of which are outside your control.
What Are the Main Steps That Affect Timing?
The IMLC process includes five major steps that affect how long it takes:
- Creating your IMLC account and completing the application
- Submitting required documents and payments
- Completing a background check (including fingerprinting)
- Waiting for your State of Principal License (SPL) to verify and issue your Letter of Qualification (LOQ)
- Requesting and paying for licenses in other compact states
Each of these can vary in duration depending on your state, background, and preparedness.
What’s the Fastest It Can Go?
Some physicians complete the entire process in under 3 weeks. This usually happens when:
- Your SPL has a fast processing time
- Your background check is clear and completed quickly
- You apply during a low-volume season (i.e., not during residency match or end-of-year renewals)
Typical Timeframes by Step
- Application submission: Immediate
- Background check/fingerprints: 7–14 days
- SPL verification & LOQ: 5–20 business days
- Additional state licenses: 1–7 business days each
That puts the average total processing time between 3 and 6 weeks for most applicants.
What Are the Most Common Delays?
Several issues can cause your IMLC timeline to stretch beyond the average:
- Slow fingerprint processing: States relying on manual background checks often face longer timelines.
- Mismatched information: Differences in your submitted data (name, address, license numbers) can trigger manual reviews.
- State board backlog: Some SPLs take longer due to staffing or high application volume.
- Disciplinary flags or past issues: Even resolved matters may cause verification delays.
- Holidays or seasonal slowdowns: End-of-year periods often have slower government processing.
How Can You Speed Up the Process?
Here are proactive steps to prevent delays:
- Prepare all documents before you start.
- Use the exact same personal info across all systems.
- Get fingerprinted immediately after applying.
- Follow up with your SPL if there’s no movement after 2 weeks.
- Avoid submitting during historically busy months (e.g., December or July).
Can You Track Application Status?
Yes. The IMLC portal allows you to track your status throughout the application. You’ll see updates when your SPL begins verification, when your LOQ is issued, and when state licenses are approved. Some states also send email confirmations directly.
Does Each State License Take Time?
Yes, but usually very little. Once your LOQ is issued, requesting licenses in other states is fast — often a matter of a few clicks and fee payments. Licenses are usually issued in 1–5 business days unless the state board requires additional documentation.
What If You’re in a Hurry?
Physicians seeking rapid licensure — for a job start date or locum assignment — should:
- Choose an SPL known for fast LOQ issuance
- Submit background check materials immediately
- Contact the SPL board proactively after application submission
Some physicians also work with licensing services to reduce admin time and ensure everything is correct from day one.
Final Thoughts
The IMLC dramatically reduces the time it takes to get licensed in multiple states — but it isn’t instant. Fingerprints, board verification, and holiday delays can all affect your timeline. The key is preparation and consistency.
With the right documents, the right timing, and a clear understanding of each phase, you can go from a single-state license to a multi-state practice in under 6 weeks — and often much faster.