The Interstate Medical Licensure Compact (IMLC) is an agreement among 41 states, DC and Guam. Physicians who meet its eligibility rules apply once through their state of principal license and receive a Letter of Qualification. With it, they can request licenses from other member states without filing a full application in each one.
We check whether you qualify, prepare the application through your state of principal license, and request each compact license you need. When a state is not in the compact, we file a standard application for it in parallel.
Often, but not always. For one or two states, a standard application can be just as quick. We compare both routes for your list of states.
41 states, DC and Guam participate. A few more have passed laws and are still joining. The map on our homepage shows the current status.
We file standard applications in each state instead. Nothing is lost; the documents you upload are reused.
MD and DO licenses in any state, from application and verifications to the board's final decision.
Learn more →State CSR filings for the states that require one, filed with your license so you can prescribe without delay.
Learn more →Federal DEA registration in each state where you prescribe, filed as soon as the state license and CSR are active.
Learn more →We watch every renewal date and track CME hours by state, so no license lapses while you are practicing.
Learn more →Adding several states at once? We coordinate the filings and reuse documents where boards allow it.
Learn more →Tell us your states and timeline. We'll map the fastest path.