Help Center / 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.