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South Dakota medical license and the IMLC

South Dakota is listed by the IMLCC as a member that can serve as a State of Principal License. Eligible physicians can use the compact as an expedited route to a South Dakota license, which the state board still issues.

IMLC facts

IMLC status
Member state that can serve as State of Principal License
Joined
3/12/2015
Go-live
Jan-18
Number of member boards
1
Board
South Dakota Board of Medical and Osteopathic Examiners - DO & MD

What this means for an out-of-state physician

The IMLC offers an expedited route to additional state licenses for eligible physicians, including a South Dakota license. Eligibility is set by the compact, so check the IMLCC information for physicians before applying. The South Dakota board still issues the license.

IMLCC: information for physicians

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 are IMLC members: Iowa, Minnesota, Montana, Nebraska, North Dakota, Wyoming.

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 — nurse practitioners: $125,160; physician assistants: $131,910. These are employee wage estimates, not total compensation or contract rates.

South Dakota nurse practitioners pay · South Dakota physician assistants pay · South Dakota nurse anesthetists pay

Decision checklist for South Dakota

  • 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 South Dakota which board issues and reviews the destination license.

Find your state board (FSMB directory)

Sources

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

Frequently asked questions

Is South Dakota in the IMLC?

Yes. The IMLCC member boards list (updated 1/1/2026) shows South Dakota as a member that can serve as State of Principal License, joined 3/12/2015, go-live Jan-18. Always confirm current requirements with the state board; IMLC participation can change.

Does the IMLC issue the South Dakota license?

No. The compact offers an expedited route for eligible physicians, but the South Dakota board issues the license.

Can NPs and PAs use the IMLC for South Dakota?

No. The IMLC covers physicians only. NPs and PAs should check with the South Dakota board.

How many neighbors of South Dakota are IMLC members?

6 of the 6 bordering states are IMLC members: Iowa, Minnesota, Montana, Nebraska, North Dakota, Wyoming.

Can the South Dakota wage links establish permission to practice?

No. The linked BLS state wage estimates describe employee wages, not licensing, compact privileges or prescribing authority. Confirm the South Dakota board’s requirements separately.