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How does the compact streamline processes?

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States that participate in the compact can streamline licensure by using an expedited process to share information that medical practitioners have previously submitted in their state of principal license (SPL)—the state in which a medical practitioner holds a full and unrestricted medical license. 

Before medical practitioners can participate in the compact, they must designate an SPL, complete an application, and then receive a formal letter of qualification from that state, verifying that they meet the compact’s strict eligibility requirements. Medical practitioners cannot obtain licenses through the compact without completing these steps. 

After verifying a practitioner’s eligibility for the compact, the SPL shares this information with additional states where the medical practitioner wants to practice medicine. By using expedited information sharing, participating states can significantly speed up the licensure process.