Interstate Medical Licensure Compact Application

In order to receive licensure through the Compact, you must:

• Hold a full, unrestricted medical license in a state that is a member of the Compact – this is called your State of Principal License (SPL). See the map of states currently participating in the Compact.

   

In addition, at least ONE of the requirements below must apply:

• Your primary residence is in the SPL.
• At least 25% of your practice of medicine occurs in the SPL.
• Your employer is located in the SPL.
• You use the SPL as your state of residence for U.S. Federal Income Tax purposes.

In order to remain active within the Compact, you must maintain your SPL status at all times. You may re-designate your SPL to another state after you have received your initial qualification – as long as the state is a participant in the Compact.

In addition to having basic SPL status, there are several General Eligibility requirements. You must:

• Have graduated from an accredited medical school, or a school listed in the International Medical Education Directory.
• Have successfully completed ACGME- or AOA-accredited graduate medical education.
• Have passed each component of the USMLE, COMLEX-USA, or equivalent in no more than three attempts for each component.
• Hold a current specialty certification or time-unlimited certification by an ABMS or AOABOS board.

In addition, you must:

• Not have any history of disciplinary actions toward your medical license.
• Not have any criminal history.
• Not have any history of controlled substance actions toward your medical license.
• Not currently be under investigation.

The JP exam is an exam that is conducted on the licensing requirements and other laws, rules, or regulations applicable in this state. This exam must be completed before you can complete your initial registration. Both completion of the JP exam and the initial registration must be done within 90 days of your license being issued.

Note: If you have already taken and passed the Texas JP Exam for a previous Texas Physician Licensure application, you are not required to take it again.  If you have already taken and passed the Texas Physician JP Exam, please skip down to the Initial Registration instructions.

The JP exam is available to take online through your “My TMB” account. You will need to create a MyTMB account through the TMB website.

After establishing a MyTMB account, you should see an icon on the dashboard for accessing the JP study guide and an icon that directs you to take your exam. Once the JP exam has been passed, there will be an icon to view the completion certificate. These links are only available through MyTMB after a license has been issued using the IMLC and you have created a MyTMB account.

You must pass with a score of 75 or better and will have unlimited attempts to do so.  Failure to complete the exam within the timeframe allowed will result in automatic submission for grading. 

Upon passage of the exam scores will be sent electronically to the TMB. Please allow 48 hours for your account to be updated.   The JP exam must be passed before you can complete your initial registration. You will not be contacted by the TMB regarding passage or failure of the JP exam. It is up to each licensee to proceed to the initial registration step once they know they have passed the JP exam.  Both completion of the JP exam and the initial registration must be done within 90 days of your license being issued.

Once your JP exam has been passed, and your record updated, you may complete your registration online and pay the pro-rated initial registration fee with either a credit card or electronic check. You can begin the initial registration. You must activate your license before practicing in Texas.

The $867.00 that you previously submitted to the IMLC was the one-time processing fee for your licensure application. The initial registration fee may be prorated depending on your assigned expiration date. A breakdown of the possible initial pro-rated registration fees is available here. 

You must complete registration and pay the fee within 90 days of the date your license was issued to activate your license. Activating your license is the final step to completing all regulatory requirements. Once completed, you may practice in Texas. 

The Texas Medical Board uses electronic permits for a more paperless experience and print on demand for licensees. Once your registration/renewal is complete, please allow 2 business days for processing. After that time, you will be able to log into your MyTMB account and view, save or print a copy of your active license. Updates to the information listed on the Interstate Medical Licensing Compact’s website may 5-7 business days to be updated to their site.

Please note that primary source verification regarding licensure status is always available to anyone, including licensees’ employers, via the TMB website through ‘Look up a License’.