For MDs and DOs practicing across state lines, one compact (Interstate Medical Licensure Compact) currently apply. Below: which states are live, which have only enacted the compact, and where a full state license is still required.
Live in 42 jurisdictions plus 4 more enacted but not yet issuing privileges.
Note: HI issues licenses but cannot serve as state of principal license. As of 2026-08-04: AK, AR, NM, RI are 'IMLC Passed; Implementation In Process' per IMLCC snapshot — statute enacted but LOQs not yet issued in these states.
Every row links to that state's full compliance page. Numbers reflect current data/compacts.json — not memory or press releases.
| State | Status | Via |
|---|---|---|
| Alabama | Covered | Interstate Medical Licensure Compact |
| Alaska | Enacted, not live | Interstate Medical Licensure Compact (awaiting issuance) |
| Arizona | Covered | Interstate Medical Licensure Compact |
| Arkansas | Enacted, not live | Interstate Medical Licensure Compact (awaiting issuance) |
| California | Full license required | — |
| Colorado | Covered | Interstate Medical Licensure Compact |
| Connecticut | Covered | Interstate Medical Licensure Compact |
| Delaware | Covered | Interstate Medical Licensure Compact |
| District of Columbia | Covered | Interstate Medical Licensure Compact |
| Florida | Covered | Interstate Medical Licensure Compact |
| Georgia | Covered | Interstate Medical Licensure Compact |
| Hawaii | Covered | Interstate Medical Licensure Compact |
| Idaho | Covered | Interstate Medical Licensure Compact |
| Illinois | Covered | Interstate Medical Licensure Compact |
| Indiana | Covered | Interstate Medical Licensure Compact |
| Iowa | Covered | Interstate Medical Licensure Compact |
| Kansas | Covered | Interstate Medical Licensure Compact |
| Kentucky | Covered | Interstate Medical Licensure Compact |
| Louisiana | Covered | Interstate Medical Licensure Compact |
| Maine | Covered | Interstate Medical Licensure Compact |
| Maryland | Covered | Interstate Medical Licensure Compact |
| Massachusetts | Full license required | — |
| Michigan | Covered | Interstate Medical Licensure Compact |
| Minnesota | Covered | Interstate Medical Licensure Compact |
| Mississippi | Covered | Interstate Medical Licensure Compact |
| Missouri | Covered | Interstate Medical Licensure Compact |
| Montana | Covered | Interstate Medical Licensure Compact |
| Nebraska | Covered | Interstate Medical Licensure Compact |
| Nevada | Covered | Interstate Medical Licensure Compact |
| New Hampshire | Covered | Interstate Medical Licensure Compact |
| New Jersey | Covered | Interstate Medical Licensure Compact |
| New Mexico | Enacted, not live | Interstate Medical Licensure Compact (awaiting issuance) |
| New York | Full license required | — |
| North Carolina | Covered | Interstate Medical Licensure Compact |
| North Dakota | Covered | Interstate Medical Licensure Compact |
| Ohio | Covered | Interstate Medical Licensure Compact |
| Oklahoma | Covered | Interstate Medical Licensure Compact |
| Oregon | Full license required | — |
| Pennsylvania | Covered | Interstate Medical Licensure Compact |
| Puerto Rico | Full license required | — |
| Rhode Island | Enacted, not live | Interstate Medical Licensure Compact (awaiting issuance) |
| South Carolina | Full license required | — |
| South Dakota | Covered | Interstate Medical Licensure Compact |
| Tennessee | Covered | Interstate Medical Licensure Compact |
| Texas | Covered | Interstate Medical Licensure Compact |
| Utah | Covered | Interstate Medical Licensure Compact |
| Vermont | Covered | Interstate Medical Licensure Compact |
| Virginia | Full license required | — |
| Washington | Covered | Interstate Medical Licensure Compact |
| West Virginia | Covered | Interstate Medical Licensure Compact |
| Wisconsin | Covered | Interstate Medical Licensure Compact |
| Wyoming | Covered | Interstate Medical Licensure Compact |
The Interstate Medical Licensure Compact. Compact status varies by state — see the state-by-state table above for current coverage.
41 jurisdictions currently issue live privileges. 4 more have enacted the applicable compact(s) but are not yet issuing privileges. See the state-by-state table above for the full picture.
You need a full state license issued by that state’s licensing board. TeleVerify flags every session whose patient state you don’t hold a license (or live compact privilege) in.
Check the specific state’s TeleVerify compliance page — it aggregates licensing board rules, compact membership, and consent/prescribing rules verified against source data. Every session you run through TeleVerify re-verifies these rules against the patient’s live location.
TeleVerify checks your credentials against each patient's state at session start, generates a signed compliance record, and flags gaps before they become audit findings.
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