Can an IMLC Application Be Rejected?
Yes. While the Interstate Medical Licensure Compact (IMLC) is designed to streamline physician licensing, not every application is approved. If your application is rejected, don’t panic — many denials can be reversed with the right corrections or follow-up documentation.
What Are the Most Common Reasons for Rejection?
The top causes include:
- Incorrect or inconsistent information: Mismatched names, addresses, or license numbers
- Ineligible State of Principal License (SPL): Choosing a state that doesn’t meet IMLC SPL requirements
- Disciplinary actions: Past or unresolved board actions, even if minor
- Criminal background: Felonies or certain misdemeanors will result in disqualification
- Expired credentials: Outdated board certifications or CME credits
- Missed deadlines: Delays in submitting fingerprints or supporting documentation
Who Reviews Your Application?
Your SPL handles the review. They verify your credentials, process your background check, and determine whether to issue your Letter of Qualification (LOQ). If they reject your application, they’ll typically provide a reason via your IMLC portal or email.
What Happens After Rejection?
You’ll receive a notification outlining the issue. Depending on the problem, you may be able to:
- Correct the information and resubmit
- Provide additional documents or explanations
- Appeal the decision through the SPL
If the issue is not fixable (e.g., an ineligible SPL or unresolved disciplinary record), you may need to wait or pursue traditional state licensing routes.
Can You Reapply to the IMLC?
Yes. Once the issue that caused the rejection is resolved — such as updating your SPL, clearing a disciplinary hold, or submitting corrected documents — you may reapply. A new application fee may be required, and some SPLs may impose waiting periods.
What If Your SPL Isn’t Helpful?
If communication is slow or unclear, consider these steps:
- Call the board directly and request clarification
- Submit your question through the IMLC portal’s messaging feature
- Consult a licensing specialist or attorney if legal interpretation is involved
Your SPL has sole discretion over your LOQ. No other state or the IMLC Commission can override their decision.
Can You Appeal a Denial?
Yes — but only with your SPL. Appeals must follow that state’s administrative process. You may be asked to provide additional documentation, letters of explanation, or evidence of rehabilitation if the denial was related to disciplinary or criminal history.
What If You’re Disqualified Permanently?
If you’re permanently disqualified due to felony conviction or repeated board discipline, you’ll need to explore traditional licensing options in each state you want to practice. The IMLC has strict eligibility standards that are not waivable.
How Can You Avoid Rejection?
- Double-check all form fields before submitting
- Use consistent information across all documents
- Submit fingerprints immediately
- Choose an SPL where you clearly meet eligibility rules
- Be proactive — check your IMLC portal and email often
Final Thoughts
An IMLC rejection doesn’t mean you’re not qualified to practice — it usually means there’s a paperwork, eligibility, or timing issue. By understanding what went wrong and taking fast corrective action, most rejections can be turned around quickly.
The key is to stay calm, respond quickly, and keep your records clean and current. The IMLC works — but only when the details align perfectly.