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West Virginia medical license and the IMLC

West Virginia 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 West Virginia license, which the state board still issues.

IMLC facts

IMLC status
Member state that can serve as State of Principal License
Joined
3/31/2015
Go-live
Apr-17
Number of member boards
2
Boards
See the IMLCC member boards list: IMLCC member boards list (PDF)

What this means for an out-of-state physician

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

4 of the 5 bordering states are IMLC members: Kentucky, Maryland, Ohio, Pennsylvania.

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: $228,870; nurse practitioners: $126,780; physician assistants: $128,830. 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.

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

Decision checklist for West Virginia

  • Review the IMLCC eligibility information before choosing an application route for West Virginia.
  • 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 West Virginia in the IMLC?

Yes. The IMLCC member boards list (updated 1/1/2026) shows West Virginia as a member that can serve as State of Principal License, joined 3/31/2015, go-live Apr-17. Always confirm current requirements with the state board; IMLC participation can change.

Does the IMLC issue the West Virginia license?

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

Can NPs and PAs use the IMLC for West Virginia?

No. The IMLC covers physicians only. NPs and PAs should check with the West Virginia board.

How many neighbors of West Virginia are IMLC members?

4 of the 5 bordering states are IMLC members: Kentucky, Maryland, Ohio, Pennsylvania.

Can the West Virginia 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 West Virginia board’s requirements separately.