What is the Interstate Medical Licensure Compact (IMLC)?

The IMLC is an expedited licensure pathway for qualified physicians who want to practice in multiple states. Our team expertly navigates this licensure pathway by securing eligibility, preparing the IMLC application for a Letter of Qualification from your State of Principal Licensure (SPL) and completing the individual state-specific supporting documents. We will coordinate with all parties and guide you through this process. For many physicians, the IMLC eliminates the need to manage multiple license applications.

How the IMLC Benefits You

The IMLC affords physicians who meet the eligibility requirements the ability to practice medicine across state lines within the Compact. Rather than applying for a medical license through the state, physicians participating in the IMLC apply through the Compact for licensure in multiple states, receiving separate licenses from each respective state. Since the application for licensure is routed through the Compact, the overall process of gaining a state medical license becomes significantly streamlined. The Compact currently includes 29 states, the District of Columbia and the Territory of Guam.

Qualifications for a Compact License

By completing our simple intake form, our licensing specialists can determine if you are qualified for a Compact license. You will need a Letter of Qualification from your SPL proving you hold a full, unrestricted medical license in a state that is a member of the Compact.

Additionally, you must be able to prove that either your primary residence is in the SPL, at least 25% of your practice of medicine occurs in the SPL, your employer is located in the SPL or you use the SPL as your state of residence for U.S. federal income tax purposes.

In addition to maintaining your SPL status at all times, physicians must meet several general IMLC eligibility requirements. Our intake form, which only takes a few minutes to complete, will provide our licensing specialists with the information needed to secure your eligibility. If ancillary information is requested from the issuing medical board to fulfill the requirements of their unique medical practice act and operational requirements, your dedicated licensing specialist at MLG will field these requests.

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Compact License Costs

It is important to keep in mind that the IMLC application fee of $750 is non-refundable, even if you are found to be ineligible. To handle your entire IMLC application process including securing eligibility, preparing the IMLC application for a Letter of Qualification from your SPL and completing the individual state-specific supporting documents, MLG only collects $500 for the first state and $250 for subsequent states. You will also be required to pay a state fee for each license.

Additional Benefits of Partnering with MLG

As a client of MLG, you can rest assured that we are constantly monitoring your licensure process. As a Compact physician, you will receive a separate notice from each state where you are licensed when it is time to renew that license, but you are ultimately responsible for knowing your unique renewal dates and fees.

We keep track of these dates and renewal verifications for clients enrolled in our Licensure Maintenance & Renewal Service so you have no reason to stress about renewing multiple state medical licenses. Our goal is always to keep your involvement in the medical licensing and renewal processes to a minimum.

In a matter of minutes, you could hand off your entire IMLC project to one of our experienced, detail-oriented professionals who will provide you with personalized service every step of the way. All that falls on you is completing our easy online sign-up form or simply sending us your complete curriculum vitae.

"Nicholas Lakatos did an amazing job, made getting multiple state licenses very easy. Mr. Lakatos was a consummate professional but at the same time, very friendly and a joy to work with. Highly recommend!"

Dr. Jeanne B.

"I highly recommend this agency for anyone with a busy schedule and/or need more coordination to get paperwork filled out."


"Jason was very responsive via email and phone. He made sure to follow up with each institution to ensure that all necessary documents were sent. I very please with this service and plan to use in the future."

Michelle M.