Physician telehealth licensure in Pennsylvania

Physician in Pennsylvania

Mechanism: Interstate Medical Licensure Compact (IMLC) letter-of-intent route

Pennsylvania is an Interstate Medical Licensure Compact member state. The IMLC route costs $35 in state fees (imlcc.com's published figure, on top of the shared $700 letter-of-intent fee) — DO route: $205.

Route cost: $35 state fee (real, imlcc.com)
BLS median (state (May 2025) — context): $306,030
Listed now on our board: 9 openings (8 fully remote) — browse the board

Verify at source: state board:

Official licensure authority for this role in Pennsylvania: Pennsylvania State Board of Medicine.

— boards change fees and compact implementation dates.

Common application-rejection reasons

Applying through the compact from a state that does not process SPLs (HI/VT issue licenses but do not serve as a State of Principal Licensure) — the IMLC letter cannot be issued from there.
An unrestricted-license requirement not met: the IMLC letter qualifies only physicians already holding a full, unrestricted license in their SPL — anything on probation, in action, or pending stops the letter.
Non-member patient states assumed covered: California and New York are not IMLC members — a compact letter does not license you there; a full state application is required.
Controlled-substance scope mismatch: state tele-prescribing rules run on the DEA's flexibilities plus the state's own rules — roles assuming prescriptive authority in a state you are not licensed in are the common reject at the employer stage.

Compiled from the routes and terms already verified in the data collected for this page (imlcc.com’s participation rules, NCSBN’s compact terms, each state board’s own published requirements). Confirm against the board before applying — rules move.

Turnaround times — published figures only

IMLC letter of qualification: 30–45 days average, valid 365 days once issued (imlcc.com’s published averages).
Expedited state license after the letter: about 20 days average per member state (imlcc.com); some boards run faster, a few slower.
State fee via the IMLCC portal: $35 in Pennsylvania (published figure — yes, that much on top of the shared $700 letter fee).

We do not print a turnaround number we cannot point to a published source for. Whatever your board’s current processing page says is the binding figure.

Endorsement vs exam — which route for this role

There is no endorsement-vs-exam split for physicians — the IMLC sped-up route replaces neither; it multiplies the filing of the license you already hold into additional states.

Fee rows come from the state fee schedules this site has already collected and re-checked at build time; a row not in our data simply does not show a number here.

Every figure above comes from data already collected on this site (imlcc.com’s cost table, the state boards’ published fee schedules, nursecompact.com’s census, and published CE-hour rows) — nothing estimated. Verify at source before you rely on any of it.