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Territory of Guam medical license and the IMLC

Territory of Guam 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 Territory of Guam license, which the state board still issues.

IMLC facts

IMLC status
Member state that can serve as State of Principal License
Joined
6/26/2017
Go-live
May-18
Number of member boards
1
Board
Guam Board of Medical 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 Territory of Guam license. Eligibility is set by the compact, so check the IMLCC information for physicians before applying. The Territory of Guam 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

Territory of Guam has no bordering U.S. states or District of Columbia land/river neighbors; there is no bordering-state denominator.

    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

    No usable annual mean employee wage is available in the existing linked state tables; no wage is inferred. These are employee wage estimates, not total compensation or contract rates.

    No role-specific state pay pages exist in this project for this jurisdiction.

    Decision checklist for Territory of Guam

    • Review the IMLCC eligibility information before choosing an application route for Territory of Guam.
    • Identify a qualifying State of Principal License if you intend to use the compact.
    • Confirm the receiving board’s requirements; the state board, not the compact, issues the license.

    Find your state board (FSMB directory)

    Sources

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

    Frequently asked questions

    Is Territory of Guam in the IMLC?

    Yes. The IMLCC member boards list (updated 1/1/2026) shows Territory of Guam as a member that can serve as State of Principal License, joined 6/26/2017, go-live May-18. Always confirm current requirements with the state board; IMLC participation can change.

    Does the IMLC issue the Territory of Guam license?

    No. The compact offers an expedited route for eligible physicians, but the Territory of Guam board issues the license.

    Can NPs and PAs use the IMLC for Territory of Guam?

    No. The IMLC covers physicians only. NPs and PAs should check with the Territory of Guam board.

    How many neighbors of Territory of Guam are IMLC members?

    Territory of Guam has no bordering U.S. states or District of Columbia land/river neighbors; there is no bordering-state denominator.

    Can the Territory of Guam 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 Territory of Guam board’s requirements separately.