Interstate Medical Licensure

Interstate Medical Licensure Now Available for Maryland Physicians

On May 8, 2018 Governor Hogan signed into law Senate Bill 234, Physicians – Licensure – Grounds for Discipline and Interstate Medical Licensure Compact, which became effective on July 1, 2019 and sunsets on September 30, 2022.

The Interstate Medical Licensure Compact (IMLC) offers an expedited pathway to licensure for physicians who want to practice in multiple Compact states.  The IMLC mission is to increase access to health care for patients in underserved or rural areas and allow them to more easily connect with medical experts using telemedicine.  The Compact does not change a state’s existing medical practice act.  It adopts the prevailing standard for licensure and affirms that the practice of medicine occurs where the patient is located at the time of the physician–patient encounter, and therefore requires the physician to be under the jurisdiction of the state medical board where the patient is located.  Maryland is the 25th State/Territory to join the Compact.

CMS has determined that the interstate license compact will be treated as a valid, full license for meeting federal license requirements.

For a complete list of participating states, minimum applicant qualifications, and information on how to apply for licensure through the IMLC, please visit  All Compact, initial, renewal, reinstatement and Letter of Qualification (LOQ) fees are the responsibility of the applicant. All fees are paid directly to the IMLC.  Please direct inquiries to the Compact by telephone calls to (720) 621-9464 or email to