Locum Tenens State Medical Licensing Guide 2026

Quick Answer

The Interstate Medical Licensure Compact (IMLC) lets eligible physicians get licensed in 40+ states through a single streamlined application. IMLC licenses typically take 30–60 days and cost $700–$1,000 per state. To qualify, you must hold an unrestricted license in your State of Principal License (SPL). States not in the compact — including California — require a separate application that can take 3–6 months. Most locum agencies cover licensing fees when you accept an assignment in that state.

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This guide covers everything you need to get licensed across multiple states as a locum physician — IMLC eligibility, timelines, costs, and strategies to avoid common delays.

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For physicians considering or actively working locum tenens assignments. Independent — no agency affiliation. Content is for informational purposes only; not legal, tax, medical, or career advice — consult qualified professionals.

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