Where Do You Start With the IMLC?
The first step to using the Interstate Medical Licensure Compact is confirming your eligibility. Once you've verified that you meet all criteria and have a qualifying State of Principal License (SPL), the application process begins through the IMLC's centralized portal. Here's how it works, step by step.
What Is the Official Application Portal?
All IMLC applications go through the official IMLC website, operated by the Interstate Medical Licensure Compact Commission. You’ll create an account, input credentials, and begin the process of state-level expansion from one dashboard.
Step 1: Designate Your State of Principal License (SPL)
Choose your SPL — the state through which your eligibility will be verified. It must meet at least one of the following:
- It’s your primary residence.
- You practice at least 25% of your work there.
- Your employer is located in that state.
- It’s the state listed on your federal tax return.
If more than one state qualifies, choose the one with the fastest processing time or lowest fees.
Step 2: Create an Account on the IMLC Website
Go to the IMLC site and create a user account. You’ll be prompted to enter personal data, licensure information, and background details. This account is used for all communications, tracking, and status updates throughout the process.
Step 3: Complete the Application Form
Fill out the online form. You'll need:
- State license number for your SPL
- Medical school and graduation info
- Board certification (or exam completion date)
- National Practitioner Identifier (NPI) number
- Work and residence history
Accuracy is critical. Mismatched or outdated information is a top reason for delays or denials.
Step 4: Pay the Application Fee
You’ll be required to pay a non-refundable IMLC application fee, which covers the cost of verification and background checks. This does not include the individual license fees for each state — those come later.
Step 5: Submit Fingerprints and Background Check (If Required)
Many SPLs require a fingerprint-based criminal background check. The IMLC website provides instructions and forms for scheduling a LiveScan or submitting ink cards by mail. Processing times vary depending on your location and state board.
Step 6: Wait for Eligibility Verification
Once submitted, your SPL board will review your application. This includes validating your license, background, credentials, and discipline history. If approved, they’ll issue a Letter of Qualification (LOQ).
Step 7: Use Your LOQ to Purchase State Licenses
Once you have your LOQ, you can log in and request licenses from other participating states. For each state, you’ll:
- Pay the individual state licensing fee
- Agree to the state’s terms and conditions
- Receive your license — often within days
This is where the IMLC pays off: no new paperwork, no repetition — just fast, multi-state licensure.
How Long Does the Process Take?
Here’s a general timeline:
- Application and fingerprinting: 1–2 weeks
- Verification by SPL: 1–4 weeks (state-dependent)
- License purchases: Instant to 5 business days per state
In ideal cases, some physicians are fully licensed in multiple states in under 30 days.
What Happens If You’re Denied?
If your SPL finds that you don’t meet the criteria, your application is rejected. You can appeal directly with the SPL or correct the issue and reapply. Common issues include outdated information, missing documentation, or background check delays.
Tips for a Smooth Application
- Have all documents and IDs scanned and ready.
- Use consistent information across all fields.
- Submit fingerprints early — they’re often the bottleneck.
- Track all status updates via your IMLC portal.
Final Thoughts
The IMLC application isn’t complex — but it is detailed. By understanding each step ahead of time, gathering your materials, and double-checking for consistency, you’ll drastically reduce the chances of delay.
The time you invest upfront pays off in the form of fast, flexible multi-state licensure that can unlock new job opportunities, expand telemedicine capabilities, and accelerate your professional mobility.