If no middle name, enter NONE



Personal NPI please

* States that are not selectable as your SPL are currently still preparing to accept applications for verification and a background check.

By clicking Apply Now you will be navigated to a site which will request you fill out a short application and authorization form. You will be required to pay the application fee at this time.

I have read and understood the Qualifications to practice medicine in the Compact States. I am qualified and desire to apply.

SECOND ROUND OF SELECTIONS

If you already have selected your states, received your licenses, and wish to select a second round of states for which to practice in, Click Here. (DO NOT USE THIS LINK IF YOU DO NOT HAVE AN IMLC LICENSE YET)