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A Faster Pathway to Medical Licensure in Other States Beginning July 1, 2021

June 30, 2021

By Joseph T. D. Tran, Attorney at Law, CIPP/US

A Faster Pathway to Medical Licensure in Other States Beginning July 1, 2021
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While the 2021 Regular Session of the Louisiana Legislature has just ended, one bill signed last October will become effective July 1, 2021. With the signing of Act 35 (2020), Louisiana joins over 28 states in an Interstate Medical Licensure Compact (IMLC). The compact provides for a comprehensive process that complements the existing licensing and regulatory authority of state medical boards to provide a streamlined process that allows physicians to become licensed in multiple states, thereby enhancing the portability of a medical license and ensuring the safety of patients.

The pathway for expedited licensure for states participating in the compact does not change existing state medical practice laws. Each state adopts established licensure standards but retains jurisdiction over physicians practicing within that state.


To register for expedited licensure under the compact, a physician must designate a member state for the principal license, with the member state being either:

  1. the principal residence of the physician;
  2. where at least 25% of the practice occurs;
  3. location of the physician's employer; or
  4. the state designated as the residence for federal income tax purposes.

In addition, the physician must satisfy each of the following:

  1. Graduate from a medical school accredited by the Liaison Committee on Medical Education, the Commission on Osteopathic College Accreditation, or a medical school listed in the International Medical Education Directory or its equivalent;
  2. Pass each component of the United States Medical Licensing Examination (USMLE) or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) within three attempts, or any of its predecessor examinations accepted by a state medical board for licensure purposes;
  3. Complete graduate medical education approved by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association;
  4. Hold a specialty certification or a time-unlimited specialty certificate recognized by the American Board of Medical Specialties or the American Osteopathic Association's Bureau of Osteopathic Specialists;
  5. Be issued a full and unrestricted license to engage in the practice of medicine by a participating state board;
  6. Has never been convicted, received adjudication, deferred adjudication, community supervision, or deferred disposition for any offense by a court of appropriate jurisdiction;
  7. Has never had their medical license subjected to discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding non-payment of fees related matter;
  8. Has never had a controlled substance license or permit suspended or revoked by a state or the United States Drug Enforcement Administration; and
  9. Currently not under active investigation by a licensing agency or law enforcement authority in any state, federal, or foreign jurisdiction.

Applying for Licensure

The application process involves applying for an expedited license through the member state of principal licensure. After review, the member state will provide the IMLC Commission, which is the rule-making authority comprised of at least two representatives from each member state, with a letter verifying or denying eligibility. A physician becomes registered with the commission upon receiving the letter verifying eligibility and payment of applicable fees. The issuance of a license will be from the member state in which the applicant desires to practice.

To learn more about the compact, visit the IMLC home page. Videos about the application process can be found here and commonly asked questions are answered here.


Physicians considering licensure in any member state may want to contact their professional liability insurance carrier to discuss coverage. LAMMICO insureds can contact their LAMMICO Marketing or Underwriting representative at 800.452.2120.


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