One record for every license you hold.
Ready before anyone asks.

The Interstate Medicine Ledger keeps every license, credential and CME certificate you hold in one record. Drag in your documents or forward the email a certificate came in. We sort each one into your record, count every CME credit toward each state where it applies and remind you before anything is due. When a hospital asks, you send one link.

$5 a month, billed yearly at $60, or $8 a month, billed monthly. 30 days free with a card on file. We email you before any charge, and you can cancel online at any time. Already a member? Sign in.

A clinician's first sign-in: two steps to finish setting up, starting with checking the licenses already on file.

A clinician’s first sign-in, with sample data.

How it works

01

Add your documents

Drag in a folder, a PDF or a phone photo, or forward the email it came in. We read each one and add it to the right license or credential.

02

Count it everywhere

One CME credit counts toward every state where it applies, and you see where before you save.

03

Hear before it’s due

We email you well before each renewal and whenever a board changes a rule.

04

Send one link

Share your credentialing packet as one secure link, with every document named and in order and a Word profile you can edit.

What it takes off your plate

That conference email? Forward it.

Every member gets a private email address for documents. Forward the certificate there, or drag any document into the Ledger, and we pull out the details for you.

  • Any format. PDFs, scans, phone photos, whole folders and a PDF that holds several documents.
  • Your office can send it too. Email from your assistant, such as your office manager, goes straight to your record after our checks.

See what it counts toward, before you save it

One course can satisfy three states at once. Before you save, the Ledger shows every requirement the credit counts toward, and you can untick any you don’t want.

  • Full hours to each. One certificate can count toward a state’s opioid mandate and its general total.
  • Proof on hand. Every credit stays linked to its certificate, ready if a board asks.

What each state wants this cycle

Each license shows its board’s total hours, required topics and cycle in plain words, with what you’ve done and what’s still owed. When a board changes a rule, we tell you.

  • All 51 jurisdictions, for MD/DO, NP, PA, CRNA and CAA
  • Gaps shown per state, so you take only what’s still owed

Everything a hospital will ask for

DEA and state controlled-substance registrations, board certifications, life-support cards and malpractice coverage sit next to your licenses, each with its own renewal date.

  • Renewal reminders by email, well before each date

The packet, before they ask twice

Your credentialing packet comes from your own record, with every document named and in the order hospitals expect, plus a short Word profile you can edit. Share one secure link and the reminder emails stop.

Your assistant does the uploading.
Your name stays on the record.

Add one assistant to your Ledger, free, such as an office manager. They can view your record and credentials, send you documents and approve what waits in your review queue. Documents they email in are added after our checks. You don’t need a group account.

  • What your assistant uploads waits for approval. What they email in is added after our checks. They can’t edit your record directly or manage your account.
  • Every action on your own activity log.
  • Change or revoke access whenever you like.
  • One assistant can help up to 3 clinicians. Need more help or more people? Switch to the Roster. It takes one step in the app.

Your record stays yours.

You own your Ledger, wherever you work. When a practice or agency asks to see it, you choose how much they see, and you can lower or remove that access at any time.

You choose what a group sees

Pick one of four levels, from compliance status only up to letting the group manage documents for you. Every document they add shows on your activity log.

It moves with you

Change employers or agencies and your record comes with you, documents and history included.

Take it or delete it

Download your whole record at any time, even if your membership lapses. Delete your account and we erase your files and your record for good.

Never sold

We never sell your information to recruiters, marketers or data brokers. Read how we handle your data.

The details that save
you an afternoon

All included in the one price.

Set up in minutes

Your first sign-in walks you through a few steps: check the licenses on file, add your certificates, choose how we remind you.

Any document, any format

PDFs, scans, phone photos (iPhone too), Word (.docx), Excel (.xlsx) and text files. Programs and macro files are blocked for security. A PDF that holds several documents is split for you to check.

Could the Compact help?

For physicians, the Ledger shows whether the Interstate Medical Licensure Compact could be a route to your next state, based on the licenses you hold.

Thirteen physician certifying boards

ABIM, ABA, ABEM, ABFM, ABPN and ABR with their AOA counterparts, plus ABOG. One certificate counts toward your states and your board.

One price. Every state.

No per-license fee, no per-state fee, no per-credit fee. The state requirement pages and the opioid CME planner stay free for everyone, no account needed.

What’s included

  • Unlimited licenses, states and credits
  • Documents read and sorted for you
  • A private email address for your documents
  • Board-change and renewal alerts
  • A plain summary of every state’s rules, with the date last checked
  • One assistant, free, who can send and approve documents for you
  • Credentialing packet: your documents and a Word profile
Ledger
For one clinician
$5a month, billed yearly at $60

Or $8 a month, billed monthly.

  • 30 days free with a card on file
  • We email you before any charge
  • Cancel online at any time
Start your Ledger

Join now and your $60 a year stays as long as you keep your membership.

Running a group or an agency?

The Roster shows every clinician’s renewals and documents on one screen. $10 per clinician a month, admin access free.

Roster for groups

Every rule traced to the board

51

Jurisdictions, each with its date

Every requirement is checked against the board’s own rules and carries its citation and the date it was last checked.

8

States that reject a general course

Florida, Kentucky, Louisiana, Massachusetts, Oregon, Tennessee, Utah and West Virginia require a board-approved or state-specific activity. Take the wrong course and you find out at renewal.

38

Jurisdictions that require controlled-substance CME

Each sets its own schedule, and the other thirteen require none.

MD

Built by a practicing physician

A physician licensed in more than one state built the Ledger, because no tracker did the cross-state math.

Requirements data is provided for planning. Always confirm with your board before relying on it.

What people ask before they join

What is Interstate Medicine Ledger?
One record of every state license you hold, your CME tracked against each board’s own rules, and the credentials a facility asks for (DEA and state controlled-substance registrations, board certifications, life-support cards and malpractice coverage), each with its own renewal date. All 51 jurisdictions are included.
How much does the Ledger cost, and is there a trial?
$5 a month, billed yearly at $60, or $8 a month billed monthly, with every state included and no per-state add-ons. The first 30 days are free. We email you before any charge, and you can cancel online any time. Join now and your $60 a year stays as long as you keep your membership.
Which clinicians is the Ledger built for?
Physicians (MD and DO), nurse practitioners, physician assistants, certified registered nurse anesthetists and certified anesthesiologist assistants, especially those licensed in more than one state, such as locum tenens and telehealth clinicians. Each profession is tracked against its own board’s rules.
How do certificates and licenses get into the Ledger?
Drop the document in, or forward it to your private email-in address. AI reads it and pulls out the details. You confirm what you drop in before it is recorded. Email from your own address, your confirmed personal address or your assistant is added for you only when every check passes. Up to 3 other senders you authorize wait for your approval. Anyone else is blocked. One credit counts toward every state requirement it satisfies.
Does the Ledger report my CME to the state board?
No. The Ledger organizes your complete record, and you or an assistant you have authorized submit to the board. We are not an accreditor, we do not validate credits and we do not do primary-source verification.
My group wants to see my record. How does that work?
Groups and agencies use the Roster. You choose what they can see, at Level 1 to 4, and you can lower or revoke it any time. If you already pay for your own Ledger, your plan is canceled with a refund for the unused part once you accept the group. If your group removes you, your Ledger stays free for 30 days, then you can keep it at $60 a year or $8 a month.

More: the full FAQ.

Stop chasing it.

Set up your licenses in a few minutes and see where you stand in every state, in one place.

$5 a month, billed yearly at $60, or $8 a month, billed monthly. 30 days free with a card on file. We email you before any charge.