Medical Licensing Service

Compact IMLC Medical Licensing Services

MedLicense.com's IMLC Reciprocity Licensing Services:

The Interstate Medical Licensure Compact Commission, or IMLCC, provides a more expedited route to licensure through the reciprocity agreement between the 35 States participating in the IMLC. In this system, the IMLCC acts as the hub between the Medical Boards to exchange information on physicians who are qualified to be a part of the IMLC Compact. It is truly a better way to license than the old system of complete re-verification of a Doctor's Credentials each time they wish to apply for a new State Medical License. MedLicense.com's Reciprocal Physician ILMC Compact Licensing Services. Founded in 2001, MedLicense.com can navigate the multi-State Process for you.

MedLicense.com provides IMLC Licensure services via the Reciprocial Compact. Once you submit your order for ILMC Services, MedLicense.com will:

  • Email the required forms to you to proof, sign, and date
  • Fedex the required fingerprint packet to you
  • Submit the IMLC Compact Conversion Application to the IMLC
  • Request the Employment Verifications for the IMLC Sponsoring State
  • Request the the Criminal Background Check for the IMLC Sponsoring State
  • Request the NPDB-HIPDB Report as required by the Sponsoring State
  • Request any State Medical Licenses as required by the Sponsoring State

Once the Sponsoring IMLC Compact State Medical Board has deemed that your conversion is completed and issue the SPL rider to your Medical License, MedLicense.com will provide the following:

  • Submit the ILMC Compact Additional State Applications for each State which you wish to add to the IMLC System
  • Forward to you the required notary and signature forms for each additional State
  • Request the required NPDB-HIPDB per the individual Board's Requirements
  • Request the required Physician Reference Forms from your Reference Physicians per the individual Board's Requirements
  • Request the USMLE/NBOME/NBME/FLEX exam scores as required by the Individual Medical Board's

What is the cost of the IMLC Process?

  • Initial Application Fee to IMLC to convert your Main Medical License to IMLCC - $700
  • Subsequent Application Fee to IMLC to add additional States - $100
  • Application Fee to each Medical Board to add them to the IMLCC - $75 to $1425 ( varies by State - contact MedLicense for full list)
  • Criminal Background Check for the Inititial IMLC SPL Medical License Conversion - $12 to $76
  • Miscellanous Verification Fees for Initial Conversion and Additional States - $0 to $300 ( varies by State and Doctor )
  • MedLicense.com's Service Fee to Convert your Primary Medical License to a IMLC SPL License - $639
  • MedLicense.com's Service Fee to Add additional licenses to your IMLC License Process - $219 per license*
  • * ILMC Add On Rate for Georgia, Louisiana, & Nevada - $559 due to additional verification/reporting requirements added by each State.

Things you should know about the Compact IMLC process before proceeding:

The process is time limited. You are only given 30 days to complete each application. In the event that you do not comply or are unable to comply with the IMLCC / Sponsoring State / Additional State's requests within the 30 day time period the following will occur:

  • Your application will expire and you will lose the funds you provided to the IMLC / Sponsoring State / Additional State
  • A Few of the States will actually consider this to be a denial of licensure and report you to the NPDB-HIPDB and FSMB as a "Board Action"
  • The individual Medical Boards can refuse to issue a license through the IMLC even if you meet the requirements which the IMLC has provided on their website. The Individual Medical Boards can review you Exam Score History, Type of Board Certification, Malpractice History, along with other potential issues to determine eligibility. The IMLC does not approve or disapprove the applications. This is left up to the Individual State Medical Boards. 
  • Physician's who previously held a license in an "Add On" IMLC State will not be allowed to apply through the IMLC to reinstate those Medical Licenses. The Physician will be forced to apply through the Board's normal reinstatement, reactivation, or restoration process
  • If a physician is going to license in all 50 States and will be using the IMLC to add the 31 States to their license list, adding the 31 States at the same time as the 29 Full States or before will increase their licensure cost by up to $22,475. Why? Because it is very likely that the 29 slower medical boards will see the 31 new licenses and as such require that each be verified to the 29 slower boards. The average cost of a license verification is $25.  $25 x 31 new licenses = $775.  $775 x 29 slower Boards = $22,475. Proper planning in advance can reduce your out of pocket expense while achieving licensure in the majority of the States within a 2 1/2 - 4 1/2 month window. 

So it is extremely important that all communications from the IMLC and Board's are received, complied with, and responded to immediately during the process. With the IMLC Compact Licensing System, you are trading time for stress.

To sign up for our IMLC Compact Licensing Services, you can do so here:    Sign Up Form

**  IMLC Compact Renewal Process Update 8/1/2024 **

The IMLC has changed their Letter of Qualification Renewal Process. All Letter of Qualifications are good for 1 year after they are issued. In the past, if a physician desired to keep the LOQ active after the 1 year anniversary date, the physician simply needed to submit a Renewal Request through the IMLC Web Portal and pay the $200 renewal fee. Then the LOQ would be renewed for 12 more months. 

This policy has been changed. Now, a physician who desires to continue the Letter of Qualfication for 12 more months after the initial issuance, must reapply through the IMLC to have a new Letter of Qualification   issued by the Sponsoring Participating State. The window will open for the application submission 30 days prior to the expiration date of the existing LOQ.  To request assistance from MedLicense.com to manage this process, please sign up using our service form. 

Population Coverage Details:

IMLC Compact Participating States vs Non-Participating States

(Statistics based on 2022 USA Population Data)

RANK State ILMC Population % Cum %
1 CALIFORNIA NO 39029342 11.71% 11.71%
3 FLORIDA NO 22244823 6.67% 18.38%
4 NEW YORK NO 19677151 5.90% 24.29%
5 PENNSYLVANIA NO 12972008 3.89% 28.18%
9 NORTH CAROLINA NO 10698973 3.21% 31.39%
11 NEW JERSEY NO 9261699 2.78% 34.17%
12 VIRGINIA NO 8683619 2.61% 36.78%
16 MASSACHUSETTS NO 6981974 2.09% 38.87%
18 MISSOURI NO 6177957 1.85% 40.72%
23 SOUTH CAROLINA NO 5282634 1.59% 42.31%
27 OREGON NO 4240137 1.27% 43.58%
33 ARKANSAS NO 3045637 .91% 44.49%
36 NEW MEXICO NO 2113344 .63% 45.13%
40 HAWAII NO 1440196 .43% 45.56%
44 RHODE ISLAND NO 1093734 .33% 45.89%
48 ALASKA NO 733583 .22% 46.11%
           
2 TEXAS YES 30029572 9.01% 9.01%
6 ILLINOIS YES 12582032 3.78% 12.79%
7 OHIO YES 11756058 3.53% 16.31%
8 GEORGIA YES 10912876 3.27% 19.59%
10 MICHIGAN YES 10034113 3.01% 22.60%
13 WASHINGTON YES 7785786 2.34% 24.93%
14 ARIZONA YES 7359197 2.21% 27.24%
15 TENNESSEE YES 7051339 2.12% 29.26%
17 INDIANA YES 6833037 2.05% 31.31%
19 MARYLAND YES 6164660 1.85% 33.16%
20 WISCONSIN YES 5892539 1.77% 34.93%
21 COLORADO YES 5839926 1.75% 36.68%
22 MINNESOTA YES 5717184 1.72% 38.39%
24 ALABAMA YES 5074296 1.52% 39.92%
25 LOUISIANA YES 4590241 1.38% 41.29%
26 KENTUCKY YES 4512310 1.35% 42.65%
28 OKLAHOMA YES 4019800 1.21% 43.85%
29 CONNECTICUT YES 3626205 1.09% 44.94%
30 UTAH YES 3380800 1.01% 45.95%
31 IOWA YES 3200517 0.96% 46.92%
32 NEVADA YES 3177772 0.95% 47.87%
34 MISSISSIPPI YES 2940057 0.88% 48.75%
35 KANSAS YES 2937150 0.88% 49.63%
37 NEBRASKA YES 1967923 0.59% 50.22%
38 IDAHO YES 1939033 0.58% 50.80%
39 WEST VIRGINIA YES 1775156 0.53% 51.34%
41 NEW HAMPSHIRE YES 1395231 0.42% 51.76%
42 MAINE YES 1385340 0.42% 52.17%
43 MONTANA YES 1122867 0.34% 52.51%
45 DELAWARE YES 1018396 0.31% 52.81%
46 SOUTH DAKOTA YES 909824 0.27% 53.09%
47 NORTH DAKOTA YES 779261 0.23% 53.32%
49 DISTRICT of COLUMBIA YES 671803 0.20% 53.52%
50 VERMONT YES 647064 0.19% 53.72%
51 WYOMING YES 581381 0.17% 53.89%

 

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"Medical Board Licensure is comparable to the Science of Geology. The continual application of time and pressure will move mountains."