Virginia medical license outside the IMLC

IMLC facts

IMLC status

Listed by IMLCC as outside the compact as of April 2026

What this means for an out-of-state physician

Apply directly to the Virginia board. Use the FSMB directory to find and contact the board, and confirm its current requirements before you start.

FSMB: contact a state medical board

NPs and PAs

The IMLC covers physicians only. Nurse practitioners and physician assistants should check licensing requirements directly with the relevant state board.

FSMB: contact a state medical board

Neighbors

6 of the 6 bordering states or District of Columbia are IMLC members: District of Columbia, Kentucky, Maryland, North Carolina, Tennessee, West Virginia.

• District of Columbia — member.
• Kentucky — member.
• Maryland — member.
• North Carolina — member.
• Tennessee — member.
• West Virginia — member.

Counts use shared land/river borders, exclude open-water-only and point-only contacts, and include the District of Columbia where adjacent. Count the named qualifying neighbors and divide the list into qualifying and other recorded statuses; no status is inferred for an unrecorded IMLC state.

In this state, in context

BLS OEWS May 2025 annual mean employee wages — physicians, all other: $266,010; nurse practitioners: $129,060; physician assistants: $142,630. The physician row is the broad “physicians, all other” category, not an average for all physicians or a particular specialty. These are employee wage estimates, not total compensation or contract rates.

Virginia physicians, all other pay · Virginia nurse practitioners pay · Virginia physician assistants pay · Virginia nurse anesthetists pay

Decision checklist for Virginia

• Read the published eligibility guidance for the route you propose to use.
• Verify a qualifying State of Principal License, where the compact route applies.
• Confirm directly with Virginia which board issues and reviews the destination license.

Virginia is listed outside the compact in the existing source. Apply directly to its board; the compact steps describe member-state applications, not an alternative license for this state.

Find your state board (FSMB directory)

Sources

• IMLCC statement listing states outside the compact as of April 2026 (PDF)
• FSMB: contact a state medical board

Always confirm current requirements with the state board; IMLC participation can change.