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How Early to Start a Locum Tenens License

The slowest step in a locum placement is usually the state license, so the sooner you apply, the more assignments you can say yes to.

Last reviewed November 1, 2026. General information, not legal or compliance advice.

Why it takes time

Boards verify education, training, prior licenses and sometimes fingerprints, and each step depends on other organizations replying. Processing can take weeks or months and varies by state and season, so plan for the slower end.

Work backward

• Start date of the assignment.
• Facility privileging, which often runs after the license is active.
• State license issuance.
• Application submission, including all verifications.
• Gathering your documents.

Ways to save time

• Keep your documents current, so applications go out complete.
• Use a compact route where you qualify. See the IMLC guide.
• Apply for a license in states where you expect to work repeatedly, before an assignment arises.

Cost

Fees add up across states. Try the cost calculator.

Limits of this guide

Rules and fees change, and this guide is general information, so confirm the details with the relevant board or agency before you act.