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Interstate Medical Licensure Compact

The Interstate Medical Licensure Compact (IMLC) is a voluntary, expedited pathway to licensure for qualifying physicians who wish to practice in multiple states.

On June 7, 2021, Governor Greg Abbott signed into law House Bill 1616 which was passed by the 87th Texas Legislature, making Texas the 33rd member state to join the Compact.

For more information on the Compact, FAQs, informational videos, and how to qualify for licensing through this pathway, please visit the IMLCC’s website:

On March 1, 2022, the IMLCC began accepting applications for Texas Compact licensing. The TMB expects a large initial influx of applications which will in turn affect processing times.

The TMB stresses to those who are interested in becoming Texas licensed via the Compact, or currently licensed Texas physicians wishing to be licensed in another Compact state, to please review ALL IMLC criteria to ensure qualifications can be met for licensing through this pathway prior to applying:

Physicians are responsible for making a self-determination of eligibility prior to applying to participate in the Compact, and they must confirm that they understand the Compact rules.


IMLC Qualifications

There are two types of eligibility requirements: State of Principle Licensure (SPL) eligibility and general eligibility.

Please review the information below as well as our Letter Of Qualification (LOQ) Eligibility Checklist

SPL Eligibility 

In order to receive licensure through the Compact, you must:

In addition, at least ONE of the requirements below must apply:

  • Your primary residence is in the SPL.
  • At least 25% of your practice of medicine occurs in the SPL.
  • Your employer is located in the SPL.
  • You use the SPL as your state of residence for U.S. Federal Income Tax purposes.

In order to remain active within the Compact, you must maintain your SPL status at all times. You may re-designate your SPL to another state after you have received your initial qualification – as long as the state is a participant in the Compact.

General Eligibility 

In addition to having basic SPL status, there are several General Eligibility requirements. You must:

  • Have graduated from an accredited medical school, or a school listed in the International Medical Education Directory.
  • Have successfully completed ACGME- or AOA-accredited graduate medical education.
  • Have passed each component of the USMLE, COMLEX-USA, or equivalent in no more than three attempts for each component.
  • Hold a current specialty certification or time-unlimited certification by an ABMS or AOABOS board.

In addition, you must:

  • Not have any history of disciplinary actions toward your medical license.
  • Not have any criminal history.
  • Not have any history of controlled substance actions toward your medical license.
  • Not currently be under investigation.


IMLC Frequently Asked Questions

  • How do I apply for Texas licensure or a Letter Of Qualification (LOQ) through the IMLCC?

    All applications are submitted through the IMLCC website at


    Are there any reduced IMLCC application fees?

    There are no reduced application fees paid to the IMLCC. However, a refund of the application fee is possible from the Texas Medical Board for those individuals who are active-duty military. To receive this refund, within the first 90 days after your license is issued you will need to submit to us a copy of your active military orders when requesting a refund of your application fee.


    Can my application fee be refunded if I am determined to be ineligible for an LOQ or for licensure through the IMLCC?

    No, these fees are non-refundable.


    If I had a previous license in Texas that is no longer active, can I reactivate it through the IMLCC process?

    No. At this time, the only way to reactivate a previously held Texas license is to go through our regular relicensure process. Information on this process is available on our website at


    If I have an active application for Texas licensure, can I apply through the IMLCC instead?

    If you choose to apply through the IMLCC, you would need to withdraw your original application first by submitting a completed Application Withdraw Form to Once that has been received and processed, you can submit your application through the IMLCC.

    As an already licensed Texas physician, are there any criteria in addition to what is required by the IMLCC that need to be met in order for Texas to issue me an LOQ?

    No, there are no additional requirements or criteria. TMB staff may ask for additional documentation to assist with verifying the IMLCC criteria if we are not able to do so with available documentation in your original Texas licensure file.


    What if I’m not Board certified yet? Can I apply for an LOQ before certification has been completed?

    If you are not currently board certified, you would be able to have an LOQ issued once you obtain Board certification. Applications requesting an LOQ should not be submitted until Board certification has been obtained. If there are any other criteria you do not meet, you would not be eligible to have an LOQ issued.


    What if I have a criminal history? Is there any remediation available?

    Having the arrest expunged from your record would be the only potential remediation for this requirement. This would need to be completed before submission of your application. To be eligible for licensure through the IMLCC, a physician cannot have ever been convicted, or received adjudication, deferred adjudication, community supervision, or deferred disposition for any offense by a court of appropriate jurisdiction.


    Will I need to be fingerprinted to complete the LOQ process?

    To ensure that individuals have a full criminal history background check, licensees may need to submit fingerprints for evaluation.  Each request for an LOQ is reviewed on a case-by-case basis. If fingerprints are required for evaluation, detailed instructions will be sent to the licensee by email.


    Can I get a license through the IMLCC in another state if I hold a Texas physician license other than a full and unrestricted license?

    No. An LOQ can only be issued to those individuals who hold a full and unrestricted license in Texas. If you hold any other type of license such as an Out-of-State Telemedicine, Administrative Medicine, or any other temporary/limited license, you are not eligible for an LOQ from Texas.


    How long does it take to process an LOQ request?

    The length of time it takes to issue an LOQ will typically take 30 to 60 days. A large volume of LOQ applications received may cause a delay in this timeframe. Additionally, if Board staff has asked the licensee for additional documentation to help verify the IMLCC criteria, how quickly the information is provided by the licensee will impact how long the LOQ process takes.


    Does my LOQ request expire?

    If additional information is requested from the licensee and no response has been received within 60 days from the date the application was received by the TMB from the IMLCC, the application will expire. Extension requests will not be processed.


    Can my application be expedited?

    There is no way for the licensure or LOQ process through the IMLCC to be expedited.


    Can you tell me if I am eligible for an LOQ before I apply through the IMLCC?

    No, TMB staff cannot review your file for eligibility before submission of an application. Individuals should do a self-determination of eligibility before applying. The eligibility requirements can be found on our website above.


    Will passing the Canadian Licentiate of the Medical Council of Canada (LMCC) count for the exam requirement?

    No, the LMCC does not meet this requirement.

    Am I eligible for the IMLCC expedited licensing if I do not currently have an active license?

    No.  The Interstate Medical Licensure Compact (IMLC) is a voluntary, expedited pathway to licensure for physicians who already hold a full, unrestricted medical license in a state that is a member of the Compact, and wish to practice in multiple states.


    Are there any criteria in addition to what is required by the IMLCC for being licensed in Texas through this system?

    There are no additional requirements to receive your license in Texas through the IMLCC. However, once your license has been issued, you will have 90 days to complete the Jurisprudence (JP) exam and the initial registration for your license which will include providing us with information that is statutorily required for us to have for your online physician profile. This includes a fee that is paid directly to the Texas Medical Board and can be completed online. More information regarding the initial registration and the associated fees can be found on our website at


    What is the Jurisprudence (JP) exam?

    The JP exam is an exam that is conducted on the licensing requirements and other laws, rules, or regulations applicable in this state. This exam must be completed before you can complete your initial registration. Both completion of the JP exam and the initial registration must be done within 90 days of your license being issued.


    If I am determined ineligible for Texas licensure through this process, does that mean I am ineligible for a Texas license through the regular licensure process?

    Not necessarily. Our current requirements for a full Texas license through our regular licensure process can be found at


    How long does it take to process a new application through the IMLCC?

    Depending on the volume of applications received, the process typically takes approximately 2 weeks from the date the application is received by the Texas Medical Board from the IMLCC. Please note that a large volume of applications could cause a delay in this timeframe.


    Is the license that is issued through the IMLCC a full license or are there restrictions attached?

    Any Texas license issued through the IMLCC is a full, unrestricted Texas license.


    What happens to my Texas license issued through the IMLCC if my State of Principal Licensure (SPL) has changed?

    As long as you have redesignated your SPL through the IMLCC redesignation process, your Texas license will not be affected.


    What happens to my Texas license issued through the IMLCC if my license from my SPL is cancelled or revoked?

    If a license granted to a physician by the member board in the state of principal license is revoked, surrendered or relinquished in lieu of discipline, or suspended, then all licenses issued to the physician by member boards shall automatically be placed, without further action necessary by any member board, on the same status. If the member board in the state of principal license subsequently reinstates the physician's license, a license issued to the physician by any other member board shall remain encumbered until that respective member board takes action to reinstate the license in a manner consistent with the medical practice act of that state.

  • Contact Us

    If the information and FAQs provided above do not answer your questions, please contact us at  Staff will respond to your inquiry within 2-3 business days.