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Medboard Matters Podcast

The Interstate Medical Licensure Compact (IMLC) was signed into law in July of 2025 as part of North Carolina (NC) Session Law 2025-37/HB 67. By joining the IMLC, there will now be an additional pathway for licensure in North Carolina as well as a pathway for our licensees to obtain licenses in other compact member states. In this episode, we talk with Marschall Smith, Executive Director of the IMLC Commission about the compact and what it means for licensees and for patients in and out of North Carolina.

Posted September 16, 2025 | 
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Presentation: The Expedited Pathway to Medical Licensure

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Hosts and Guests

Jean Fisher Brinkley

Communications Director, North Carolina Medical Board

Jean Fisher Brinkley

Jean Fisher Brinkley is NCMB’s Communications Director, a role that involves developing and overseeing production of communications materials and strategies needed to enhance public and professional awareness and understanding of the Board and its mission. She joined NCMB in 2008, after an 11-year career in newspaper journalism, most of it dedicated to reporting on medicine, health policy and the business aspects of health care.

Brinkley earned a bachelor’s degree in English from Mills College in Oakland, CA, and a master’s degree in journalism from the University of California, Berkeley. She lives in Raleigh with her husband and two daughters.

You can reach Jean at podcast@ncmedboard.org

Marschall Smith

Executive Director, Interstate Medical Licensure Compact Commission

Marschall Smith, Executive Director for the Interstate Medical Licensure Compact Commission

Marschall Smith is a flexible and dynamic leader with over 35 years’ experience in government and health administration. He has led and guided the Interstate Medical Licensure Compact Commission (IMLCC) for the last eight years. Throughout that time, Smith brought focus and function to a startup with an unknown future, establishing a streamlined, intuitive process to license physicians across state lines. His work has since lightened the administrative load for state licensing bodies and has ensured a high quality, ethical process for interstate physician licensure. Under his leadership, the IMLCC has grown from just 17 member states in 2017 to 42 member states in 2025. He has also led the organization to a projected gross revenue, for 2025, of over $40,000,000.

Prior to his tenure as IMLCC’s Executive Director, Smith served as the Professional Standards Manager with the State of Colorado Department of Health and as the Program Director for the Colorado Medical Board. Smith brought to all of these roles an unwavering commitment to providing a thorough, community-first focus and has used his wealth of experience and knowledge to create unique and efficacious organizations that optimize efficiency and streamline processes. Working with a diverse group of member boards, Smith has forged a legacy of increasing revenues and controlling spending and providing sustainable services for all stakeholders, now and into the future.

During his free time, Smith enjoys all the wonderful elements of living in Colorado with his partner, four grown children and two (soon to be three) grandchildren.

Education
M.A. Public Administration. University of Colorado, Denver, Colorado, 2002.
B.A. Political Science & History. Drake University, Des Moines, Iowa, 1984.

Mr. Smith can be reached via email at: imlccexecutivedirector@imlcc.net