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Do I Need to Submit Fingerprints for the IMLC?

A guide to fingerprinting and background checks for IMLC applicants — who needs them, how they’re submitted, and how to avoid delays.

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March 1, 2025 · by White Glove IMLC

Is Fingerprinting Required for the IMLC?

Yes, in most cases. The Interstate Medical Licensure Compact (IMLC) requires a fingerprint-based criminal background check as part of its verification process. This step ensures physician eligibility, maintains the integrity of state boards, and aligns with federal standards for medical licensure.

Who Needs to Submit Fingerprints?

Whether or not you need to submit fingerprints depends on your State of Principal License (SPL). Most SPLs require fingerprinting if they haven’t already conducted a check that meets IMLC standards. Even if you were fingerprinted years ago for licensure, you may need to repeat it for compact verification.

When Do You Submit Fingerprints?

You submit fingerprints after completing your IMLC application and paying the application fee. The IMLC portal will prompt you with next steps, including links to download fingerprint cards or schedule Live Scan appointments, depending on your SPL.

What Methods Are Accepted?

There are typically two ways to submit fingerprints:

  • Live Scan (electronic): Available in some states and preferred for speed.
  • Ink Card (FD-258): Traditional method, used when Live Scan is not available or accepted by your SPL.

Live Scan is generally faster and cleaner, while ink cards may be required for physicians applying from out-of-state.

Where Do You Get Fingerprinted?

You can get fingerprinted at:

  • Law enforcement agencies (e.g., local police or sheriff’s offices)
  • Private fingerprinting services
  • State-authorized Live Scan vendors

Be sure to check your SPL’s instructions for accepted methods and forms — using the wrong vendor or form can invalidate the submission.

How Long Does the Background Check Take?

Processing times vary by SPL and method:

  • Live Scan: 1–5 business days
  • Ink Card by mail: 7–14 business days

Delays are common during holidays or if your prints are rejected due to smudging. To prevent this, have your fingerprints taken by experienced staff using high-quality equipment.

Can You Submit Early to Avoid Delays?

In most cases, yes. Once your application is submitted, act quickly to complete the fingerprinting step. Background check delays are one of the top causes of IMLC application slowdowns. Getting ahead of this step can shave weeks off your total timeline.

What Happens If Your Prints Are Rejected?

If your fingerprints are unreadable or incomplete, you’ll be notified and asked to resubmit. Multiple rejections may lead to alternative verification processes. Always keep documentation of your submission and tracking numbers if mailing cards.

Does the IMLC Share Background Check Results?

No. The results are reviewed only by your SPL. They are not disclosed to other states or stored by the IMLC Commission. Each additional state license you apply for is approved based on your Letter of Qualification, which confirms background clearance.

Final Thoughts

Fingerprinting is a standard — and crucial — part of the IMLC process. It helps protect patients and ensure licensure integrity across state lines. While it may seem like a small step, it can create big delays if mishandled.

Plan ahead, follow your SPL’s instructions carefully, and complete this step as soon as your application is submitted. The smoother your background check, the faster your multi-state practice begins.

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