How Does Traditional State Licensing Work?
Traditionally, physicians must apply to each state medical board separately. This means filling out applications, submitting documentation, paying state fees, completing background checks, and often waiting 8–12 weeks for each license to be approved.
What Is the IMLC?
The Interstate Medical Licensure Compact (IMLC) is a streamlined alternative. Instead of applying to each state individually, you:
- Apply once through your State of Principal License (SPL)
- Receive a Letter of Qualification (LOQ) if approved
- Use that LOQ to quickly request licenses in other participating states
This can cut the timeline to days instead of months — especially when applying to multiple states.
Time Comparison
- Traditional: 8–12 weeks per state
- IMLC: 1–3 weeks for LOQ + 1–7 days per additional license
The more states you need, the greater the time savings with the IMLC. We run the full math in IMLC vs Single-State License: Real Cost and Time Comparison (2026).
Cost Comparison
- Traditional: ~$200–$600 per state (varies by board)
- IMLC: $700 initial application + each state’s licensing fee
The IMLC may have a higher upfront cost, but reduces duplication of effort — especially for providers applying to 5+ states. See our concierge pricing for the full pathway.
Administrative Burden
- Traditional: Manual application forms, notarized documents, board-by-board variability
- IMLC: Single centralized application, with pre-verified credentials
The IMLC saves time, reduces complexity, and minimizes room for clerical errors.
Eligibility Requirements
Only physicians (MDs and DOs) who meet strict eligibility criteria can use the IMLC:
- Licensed in a participating SPL
- No disciplinary or criminal history
- Board certified or passed final exam within last 3 years
Traditional licensing is open to all physicians, even those with non-complying backgrounds — though it often takes longer and requires more scrutiny.
Use Case Scenarios
- Use IMLC if: You need fast, multi-state coverage (telehealth, locums, DTC care)
- Use traditional if: You're applying to a non-IMLC state — for example California, New York, or Florida — or don’t meet eligibility
Many providers use both — IMLC for compact states and traditional for outliers.
Final Thoughts
The IMLC is faster, cleaner, and more scalable — but only if you qualify. For those who do, it’s a no-brainer. For those who don’t, traditional licensing remains a valid (if slower) path. The best option depends on your goals, timeline, and the states you need to reach.
Need Help with Your Application?
We handle the IMLC and single-state medical license process end-to-end — eligibility screening, documents, board follow-ups, and tracking.