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Physician Locums Updated October 29, 2024

By Editorial Team

Interstate Medical Licensure Compact Guide for Locum Tenens Physicians

Are you a locum tenens physician looking to expand your practice across state lines? The Interstate Medical Licensure Compact (IMLC) might be your golden ticket. With an increasing number of physicians seeking opportunities in multiple states, understanding the IMLC is more important than ever.  

This guide will walk you through the complexities of the IMLC, highlighting its benefits and how to leverage it effectively with the help of AMN Healthcare.

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What is the IMLC (Interstate Medical Licensure Compact)? 

The Interstate Medical Licensure Compact is a streamlined process that allows physicians to obtain licenses in multiple states with greater ease. Established in 2013, the IMLC is designed to increase access to healthcare by expediting the licensure process without compromising standards. For physicians, this means less time spent on paperwork and more time dedicated to patient care. 

The IMLC simplifies the traditional licensure process by allowing eligible physicians to apply for licensure in participating states through a single application. This unified approach not only saves time but also reduces the administrative burden, making it an attractive option for those seeking to expand their reach. 

Physicians interested in the IMLC must meet specific eligibility criteria, including holding a medical license in their principal state of practice, which must be a member of the Compact. With over 30 states currently participating, the IMLC offers a wide range of opportunities for physicians to broaden their practice horizons. 

Locum Tenens License Requirements: Each State Is Different 

It's also important to note that each state medical board will vary in its efficiency and specific processes. In many states, the medical licensure process takes six months or more — and that's assuming all documentation requirements are perfectly met. If you've practiced medicine at multiple locations, some boards will require that you verify privileges at each location with standards forms. And all of these verifications must come directly from the site; extensive follow-up is also sometimes necessary. 

A few more common aspects of state medical licensing to remember:

  • Residency and post-graduate training can lead to neglecting essential documentation. Many states require primary source verification and copies of training certificates.
  • Practicing through videoconferencing, telemedicine, or interstate phone consultation usually requires licensure in each state.
  • Third-party references and verifications often need multiple follow-up calls for prompt action. Some boards void incomplete applications after 60 days.
  • Physicians frequently neglect to retain essential malpractice documentation, including the names and contact information of colleagues, administrators, and legal counsel.
  • Boards need full documentation for anyone named in a malpractice case. Residents often get named unknowingly, so keep the names and contact details of all supervising physicians.
  • Meet deadlines. Some states void late or incomplete applications. 

That being said, there are still some important facts to bear in mind when planning your next assignment. Some states take longer than others; knowing which states take the longest, and which the least, amount of time will help you avoid any unexpected surprises down the road. 

The Easiest and Most Challenging States for Obtaining Medical Licenses 

The easiest states for medical licensure are based on the following criteria. First, their application process is simple and easy to understand. Everything required for licensure is stated upfront, with no extra "surprise" requests along the way. Second, their process for reviewing documentation is quick and efficient, with timely letters or emails sent that detail any outstanding items or incomplete requirements. Third, the state board employs friendly customer service people who respond to questions and requests for information in a timely manner. 

With those criteria in mind, our Locum Leaders recruitment experts agree that, currently, the easiest medical licensing states are: 

  1. Connecticut
  2. Indiana
  3. Michigan
  4. Georgia
  5. Tennessee
  6. Maine
  7. Nebraska
  8. New Hampshire 


When it comes to the most difficult states for medical licensure, we've looked at the following criteria: First, the state requires that all care providers undergo the Federal Credentials Verification System (FCVS). This requirement is not time-consuming or difficult for physicians who have already gone through it.  

In fact, it saves quite a bit of time. But for those who have never gone through the process, it can add as many as six to eight weeks to the state licensure processing, in addition to more board time. And when the FCVS verifies credentials, they do so via regular mail services, with no follow-up to ensure verification is expedited. 

The most difficult states' application processes do not always clearly list each item required to complete the application. The board sometimes asks for additional malpractice information or court dockets after all requested material has been submitted.  

More important, though, is communication. When board representatives do not answer questions or provide reliable status updates for a physician's medical licensure application, the process could drag on for months. 

With that in mind, then, here are the most difficult states in which to acquire a medical license

  1. Texas
  2. Arkansas
  3. Mississippi
  4. Florida
  5. New Jersey
  6. North Dakota 


Benefits of the Interstate Medical Licensure Compact 

The advantages of joining the IMLC extend beyond the simplified licensure process. Physicians opting for this route can enjoy a host of professional and personal benefits that make it an appealing choice for many. 

Firstly, the IMLC significantly reduces the time required to obtain multiple state licenses. Traditional licensure processes can be lengthy and cumbersome, often taking months to complete. The Compact streamlines this procedure, allowing physicians to focus on what truly matters—providing quality healthcare. 

Additionally, the IMLC opens doors to new job opportunities. With the ability to practice in multiple states, physicians can tap into diverse patient populations and expand their practice scope. This increased flexibility can lead to enhanced career satisfaction and financial growth. 

Lastly, the IMLC supports the growing trend of telemedicine. By holding licenses in multiple states, physicians can offer remote consultations to a broader audience, thus improving healthcare accessibility and outcomes for patients nationwide. 

See Also
Physician Burnout: Concerns and Solutions in Healthcare


AMN Healthcare's Commitment to IMLC Participants 

Navigating the complexities of the IMLC can be daunting, but AMN Healthcare is here to assist physicians every step of the way. Our extensive range of services is crafted to guarantee a seamless transition for new members of the Compact. 

One of the key offerings is credentialing and licensing assistance. Our team of experts works tirelessly to handle the administrative details, allowing physicians to focus on their practice. We ensure that all necessary documentation is submitted accurately and on time, minimizing delays and complications. 

In addition to credentialing support, AMN Healthcare provides full malpractice coverage, giving physicians peace of mind as they expand their practice. We understand the importance of safeguarding your career and work diligently to protect you from potential risks. 

To further ease the transition, we offer travel accommodations and paid housing near your new workplace. Relocating can be stressful, but with our support, physicians can enjoy a seamless move to their new practice environment. 

Exploring Credentialing and Licensing Assistance 

Understanding the intricacies of medical credentialing and licensing can be challenging, but AMN Healthcare is committed to helping physicians overcome these hurdles. Our experienced team provides tailored support to ensure your licensure process is as efficient and stress-free as possible. 

Credentialing is a critical component of the IMLC process, and our experts are well-versed in the requirements of each participating state. We meticulously review your credentials to ensure compliance, reducing the likelihood of errors and delays. 

Our licensing assistance extends beyond the initial application process. We guide you through renewals and any necessary updates, ensuring your licenses remain in good standing. This ongoing support allows you to concentrate on delivering exceptional care to your patients. 

With AMN Healthcare by your side, you can confidently pursue licensure in multiple states, knowing that your administrative needs are in expert hands. 

The Value of Full Malpractice Coverage 

Practicing medicine in multiple states involves unique challenges, including navigating varying malpractice laws. AMN Healthcare understands these complexities and provides comprehensive malpractice coverage to protect physicians from potential legal issues. 

Our malpractice insurance is designed to meet the specific needs of multi-state practitioners, offering robust protection against claims and lawsuits. This coverage ensures that you can focus on your patients without the constant worry of legal repercussions. 

By partnering with AMN Healthcare, you gain access to a network of legal experts who can provide guidance and support in the event of a malpractice claim. Our proactive approach to risk management helps mitigate potential issues before they escalate, safeguarding your career and reputation. 

Partner with AMN Healthcare  

The Interstate Medical Licensure Compact offers a wealth of opportunities for physicians seeking to expand their practice across state lines. By simplifying the licensure process, the IMLC enables physicians to focus on what truly matters—providing quality healthcare to patients. 

AMN Healthcare is committed to supporting physicians in their IMLC journeys, offering comprehensive services that streamline the credentialing and licensing process. From full malpractice coverage to travel accommodations and continuing education, we provide the tools and resources needed to succeed in a multi-state practice. 

If you're ready to explore the benefits of the IMLC and expand your practice, contact AMN Healthcare today to learn more about how we can support you in your multi-state endeavors. Together, we can shape the future of healthcare and improve outcomes for patients nationwide. 

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Additional Locum Tenens Resources

While you continue your physician job search for the perfect position, AMN Healthcare provides great resources to keep your career moving in the right direction. Begin the application process now, and then learn more about how AMN Healthcare can help you keep your career on the move.

  • EAP: Our locum tenens gain access to a valuable set of Employee Assistance Program benefits.
  • Physician Jobs by Specialty: Explore physician jobs and learn about hourly salaries and the benefits of working locum tenens.
  • Search All Physician Jobs: Uncover new possibilities in your physician career by exploring both short and long-term options and permanent choices. 
  • Candidate Benefits: AMN Healthcare takes care of our locum tenens with a variety of amazing benefits. Check out what's in store for our locums. 
  • Physician Licensing: Check out how we help move your career in amazing directions, both professionally and geographically. 
  • More Physician Resources: Use the content here to learn everything you need to know about our physician recruitment process.

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