IMLC Frequently Asked Questions


IMLC

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What is an interstate compact?

The Interstate Medical Licensure Compact (IMLC) is an agreement among participating U.S. states and territories to work together to significantly streamline the licensing process for physicians who want to practice in multiple states. It offers a voluntary, expedited pathway to licensure for physicians who qualify.

Do I have to have a current and active medical license to participate in the Compact?

Yes, a clear and active medical license is required to participate in the Compact.

Physicians who want to use the Compact to become licensed must apply to participate in the Compact through the IMLC website: https://www.imlcc.org/apply/. Applicants are asked to provide demographic and professional information and select a State of Principal License (SPL) where they already hold a full an unrestricted license. The SPL must be a state currently participating in the Compact.

What is a Letter of Qualification (LOQ)?

A notification issued by a state of principal licensure that expresses an applicant’s eligibility or ineligibility for expedited licensure through the process set forth in the Compact.

How is a State of Principal License defined?

The “State of Principal License” (SPL) is the Compact member state where a physician holds a license to practice medicine, and which has been designated as such by the physician for purposes of registration and participation in the Compact. The SPL is a state in which a physician holds a full and unrestricted license.

The SPL is also sometimes called a “home state” or “primary state of licensure.”

How can I make Florida my State of Principle Licensure (SPL)?

Current Florida licensees must apply through the IMLC’s website to make Florida their SPL and to obtain a LOQ from the IMLC. Applicants may apply through the IMLC by following this link: Apply License | Interstate Medical Licensure Compact (imlcc.org).

How do I apply to other member states to obtain an expedited license if Florida is my State of Principle Licensure (SPL)?

At any time during the 365-day period when a LOQ is valid, a physician can return to the IMLC website and select other Compact member states where the physician wants to seek licensure. The physician will be required to pay any necessary fees for each of the states chosen. The IMLC Commission then notifies each selected state that the physician is eligible for licensure.

How much does it cost to participate in the compact?

  • Applicants must pay a non-refundable administrative fee of $700 to the IMLC.
  • Additionally, applicants seeking an expedited license in Florida must pay:
    • $305.00 initial license fee for Osteopathic Physicians
    • $350.00 initial license fee for Allopathic Physicians
    • Any required assessment charged pursuant to state law by the Neurological Injury Compensation Association (NICA).
  • Dispensing Practitioner Fee $100.00 (optional)

Does the IMLC offer military discounts and waivers?

The IMLCC does not offer discounts or waivers of licensing fees for military personnel or their families. Military members or military spouses may qualify for licensure fee waivers.

What are the eligibility requirements for a Compact license?

To participate in the Compact, a physician must hold a full, unrestricted medical license in a Compact member jurisdiction that can serve as a State of Principal License (SPL). To see which jurisdictions are current members of the Compact, follow this link: Compact State Map | Interstate Medical Licensure Compact (imlcc.org).

At least one of the following also must apply:

  • The physician’s primary residence in the SPL.
  • At least 25% of the physician’s practice of medicine occurs in the SPL.
  • The physician is employed to practice medicine by a person, business, or organization located in the SPL.
  • The physician uses the SPL as his or her state of residence for U.S. Federal Income Tax purposes.

The physician must:

  • Have graduated from an accredited osteopathic medical school, or a school listed in the International Medical Education Director.
  • Have successfully completed graduate medical education accredited by the ACGME or AOA.
  • The Board does not consider the USMLE or FLEX exams to be comparable to the NBOME. (NOTE: Passing the Canadian Licentiate of the Medical Council of Canada (LMCC) does not satisfy this requirement).

In addition, physicians must:

  • Not have any history of disciplinary actions against their medical license.
  • Not have any criminal history.
  • Not have any history of controlled substance actions against their medical license.
  • Not currently be under investigation.

What happens if it is determined I cannot participate in the Compact?

Physicians who apply but do not meet the requirements of the Compact may not participate and are notified via email.

How do I renew my Compact license?

Participating Compact physicians receive a separate notice from each state where they are licensed when it is time to renew each license. Participating physicians must renew licenses obtained through the Compact by using the Compact website through this link: License Renewal | Interstate Medical Licensure Compact (imlcc.org). Here, applicants will be asked to complete a short form and pay their renewal fee. They will then complete a short attestation and affidavit and receive a payment receipt. Upon completion of the renewal process, an email is sent to the renewing state to verify that the physician has complied with all renewal requirements. After verification, the renewing state communicates directly with the physician to confirm licensure.