NCLEX in IL: How does this all work?

Nurses General Nursing

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Hi everyone. I feel a bit dumb right now. I've submitted paperwork to the board of nursing in Illinois but I'm unsure how I can get licensed in Missouri as well. I'm taking my NCLEX on Monday and I need answers ASAP because it's really confusing. Thank you!

I'm not positively sure about this, but since you submitted your paperwork to Illinois, you'll get a license for Illinois. In order to obtain a license in a different state, I think you just have to fill out paperwork and maybe pay some money. Although, Missouri and Illinois may have reciprocity.

I'd send a quick e-mail to the board of nursing for each state and see what they have to say.

Specializes in Medical and general practice now LTC.

Once you have your license you apply to the new state for endorsement, pay any fees and wait for BON response and if approved new license

You can get your first nursing license in any state (let's call it State 1) by applying to that state's Board of Nursing (BoN) and getting their approval to sit the NCLEX exam in their jurisdiction. You don't have to have gone to school in State 1 to do this. You have to meet whatever criteria they want-- your nursing school has to be accepted by them (some states approve schools that other states won't approve), if there are fingerprinting or other requirements, they'll want a transcript, and they want the money. Then when you pass NCLEX you are granted a State 1 RN license.

So now you want to move to State 2. You write to the State 2 BoN and tell them you want a State 2 license by reciprocity (or by endorsement, same thing for practical intent and purpose). They tell you what they want, which may be all of the above again, and the money, and then they send you a State 2 license. Unlike your driver's license, you don't have to turn in your State 1 license. You can be licensed in as many states as you like (or can afford). :)

24 states are part of a Nursing Licensure Compact*. Compact states grant you the ability to practice within their borders if your license is from another Compact state (a state where you have your primary legal residence) without going through all that process outlined above (though you probably will have to pay something). If your legal residence isn't a Compact state, you can still get a license in State 2, though. And 3, and 4, and 5...

As an example: My primary legal residence is not a Compact state. I have a license there. I do some work in a neighboring state which is a Compact state, but since my home state isn't, I got it by reciprocity/ see above process. Now I have a Compact state license so I should be good to go to any other Compact state and get a license easily, right? Wrong, because my legal residence is in a nonCompact state.

So I have licenses in 8 states and they cost me a bloody fortune because I had to go through that whole process in every single one of them, even though most are Compact states. Order a college transcript (at $10 per) for all. NY wants me to take an online class on recognizing and reporting abuse-- time and money. Two or three states want me to pay for background checks-- a coupla hunnert bucks per. A few others want fingerprints...on their forms only, done by recognized law enforcement (the local State Police barracks got used to seeing a lot of me there for awhile). Many, but not all, participate in a national licensure verification system called Nursys, so I pay for Nursys to verify my license in all the states they work with to all the rest of them, at $30 each...but California doesn't participate in Nursys, so it's $60 to have them verify my license to everyone else. Each. And so on.

* Plus two more had pending legislation for this the last time I looked

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