What’s the Average Timeline for IMLC Approval?
For most physicians, the Interstate Medical Licensure Compact (IMLC) takes 3 to 6 weeks from start to finish. But what exactly happens during that time? This article breaks it down week by week so you know what to expect — and what can delay you.
Week 1: Application Submission
- Create your IMLC portal account
- Select your State of Principal License (SPL)
- Submit your full application and pay the $700 IMLC fee
- Begin fingerprinting (if required by your SPL)
➡️ Pro tip: Start fingerprinting immediately to avoid future delays.
Week 2: Background Check and Initial Review
- Fingerprint results are submitted to your SPL
- SPL begins reviewing your credentials (license status, education, board certification, etc.)
- You may receive requests for clarification or missing documents
➡️ Common delay: Submitting outdated info or mismatched credentials.
Week 3: Letter of Qualification (LOQ) Issued
- If all goes well, your SPL issues your LOQ
- You’ll be notified via your IMLC portal
- You can now purchase licenses from other IMLC states
➡️ Important: LOQs are valid for 365 days. Don’t wait to use it.
Week 4–5: Requesting State Licenses
- Log into your portal and choose which states you want to apply to
- Pay each state's license fee individually
- States begin issuing licenses (typically in 1–7 business days)
➡️ You’ll get license confirmation directly from each state’s board.
Week 6+: Finalization and Tracking
- Verify each state license is active and listed online
- Begin scheduling patients or assignments as needed
- Start tracking renewal dates and CME requirements
➡️ Most state licenses last 1–2 years and must be renewed independently.
Where Do Most Delays Occur?
- Slow fingerprint processing
- SPL review backlogs
- Incomplete or inconsistent application info
- Choosing an SPL you don’t clearly qualify for
➡️ Tip: If your SPL doesn’t respond within 3 weeks, contact them directly.
Fast-Track Scenarios
Some physicians complete the entire process in under 3 weeks, especially if:
- Their SPL is fast (e.g., Alabama, Idaho, Wyoming)
- They’ve already completed a background check
- They apply during low-volume months
➡️ Aim for off-peak times (February–April or August–October).
Final Thoughts
The IMLC timeline is predictable — if you stay proactive. From week 1 to licensure, each phase is an opportunity to get ahead or fall behind. With the right prep, most physicians can go from a single license to nationwide mobility in just over a month. Don’t wait for the system — work the system.