Should New Grads Use the IMLC?
Yes — if eligible. The Interstate Medical Licensure Compact (IMLC) allows new physicians to apply for multiple licenses quickly and efficiently, which can be especially helpful for telemedicine jobs, locum tenens, and national employers.
What Are the Eligibility Requirements?
To qualify as a new graduate, you must:
- Be board-certified or have passed your final licensing exam within the past 3 years
- Hold a full, unrestricted license in an IMLC state
- Have no disciplinary or criminal history
- Be a U.S. citizen or permanent resident
Most new grads meet these criteria — but confirm before applying.
Why New Grads Should Apply Early
- Faster job offers: Many employers prefer IMLC-eligible physicians
- Higher flexibility: Take jobs in multiple states while exploring long-term goals
- More opportunities: Participate in cross-state telehealth, urgent care, or consulting gigs
- Lower effort: Easier to manage all paperwork early in your career than mid-practice
It's easier to scale up your licensing while momentum is on your side.
Ideal Timeline for IMLC Licensing Post-Residency
- Apply for licensure in your primary state as early as allowed
- Once issued, designate that state as your State of Principal License (SPL)
- Submit your IMLC application as soon as your SPL license becomes active
- Request additional licenses based on your job offers or geographic preferences
Do this while credentialing and contract review are in progress.
How Many States Should You Get Licensed In?
Start with 3–5:
- Where you’re interviewing or have confirmed offers
- Large telehealth markets (e.g., Florida, Texas, Illinois)
- States with fast-growing health systems or coverage needs
You can always add more later — your LOQ is valid for 365 days.
Cost Considerations
- $700 IMLC application fee
- $100–$500 per state license (varies by board)
- Fingerprinting and background check (~$75–$100)
Some employers reimburse these fees or offer signing bonuses to cover them — ask during negotiations.
Final Thoughts
Starting your medical career with a multistate license footprint sets you apart. The IMLC isn’t just a convenience — it’s a strategic advantage. If you’re a new MD or DO entering practice in 2025, use the IMLC to unlock more offers, expand your reach, and future-proof your flexibility from day one.