The Compact is an agreement among sovereign states, with the Interstate Medical Licensure Commission serving as an independent coordinating organization that administers the Compact on the states’ behalf. The Commission is made up of representatives from each participating Compact state. While the Commission oversees the work of coordinating multi-state licensing activity within the Compact, it does not actually issue individual medical licenses. Licenses are issued by the states that participate in the Compact – not by the Commission itself. Each participating Compact state sends two representatives to the Commission. These commissioners must be either a physician-member of a medical or osteopathic physician licensing board, a public member of such a board, or an executive director or administrator of such a board. If a state has only one medical board, then both commissioners must come from that board. But if it has two boards -- a medical board and an osteopathic board -- then each board gets one seat. The Commission is the sole entity administering the Compact’s bylaws, rules, policies, and advisory opinions. No other governmental agency or private entity has control over how the Compact is administered. The Commission is governed by the terms of the Compact, which provides the authority for the Commission to create bylaws, rules, and policies for self-governance.  Commissioners must function within the terms and limitations of the Compact and the bylaws, rules, and policies which the Commission approves. The Commission meets regularly and information about its meetings, activities and policies are posted in this website’s About the Interstate Medical Licensure Compact Commission section.