The IMLC is an agreement between 18 states and theĀ 23 Medical and Osteopathic Boards in those states. Under this agreement licensed physicians can qualify to practice medicine across state lines within the Compact if they meet the agreed upon eligibility requirements. Approximately 80% of physicians meet the criteria for licensure through the IMLC.

The Application process is expedited by leveraging the physicians existing information previously submitted in their state of principal license (SPL). The SPL will verify the physicians information and conduct a fresh background check. Once qualified the Physician may select any number of Compact states for which they desire to practice.

= Compact legislation enacted
= Compact legislation introduced