The Interstate Medical Licensure Compact: What Does it Mean for Locum Tenens Physicians?

Licensure Compact
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The Interstate Medical Licensure Compact (IMLC), originally introduced in 2013, was first used to issue multistate medical licenses on April 20, 2017. The most-hailed Compact benefit is the lessened turnaround time: physicians are able to complete one online application to become licensed in as many participant states as desired. For providers practicing near state borders—and especially for locum tenens physicians who travel across state lines for work—the IMLC offers a convenient way to expand their services, providing freedom and flexibility to physicians and increasing overall access to healthcare for patients.

The Licensure Compact: Fast Facts for Locum Tenens Physicians

Benefits: The compact greatly increases the ability of locum tenens physicians to travel and provide quality medical care where patients need it most. Consilium is committed to matching our partnering physicians with locum tenens opportunities that best meet their specifications—the IMLC helps ensure that location will no longer be a barrier to helping you find your best professional fit.

Eligibility: Physicians must hold a full, unrestricted medical license in a state that has adopted the IMLC. In addition, you must live or work in your State of Principal Licensure (SPL), or “home state.” For more information on eligibility requirements, visit www.imlcc.org.

Cost: The IMLC Commission will charge one $700 fee for your State of Principal Licensure to conduct your background check. You will then pay state-specific fees for only the states in which you plan to practice medicine.

Interested in working a locum tenens position in a Compact state where you are not yet licensed? We’ve got you covered: in most cases, Consilium will reimburse the state fee for any new Compact license you obtain specifically for one of our opportunities.

The Process: You will complete the online licensure application with your home state, which will then be used to qualify you to practice medicine across state lines. What to expect:

  1. Complete the online licensure application for your State of Principal Licensure.
  2. Your home state will then verify your information and conduct a new background check for a fee of $700. You should receive results within several weeks.
  3. After receiving clearance, you will be sent a Letter of Qualification from your home state.
  4. You can then choose to become licensed in as many participating Compact states as desired.
  5. Submit state-specific licensure fees for your selected states—your additional licenses should be issued within a matter of days.


= IMLC Passed; Implementation Delayed
= IMLC Member State Issuing Licenses
= IMLC Member State Issuing LOQs and Licenses
= Compact legislation introduced

Interested in locum tenens opportunities in IMLC states?

Call Consilium at +1 (877) 536-4696 and ask for the recruiter for your area or complete our convenient online form.

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