Living in Illinois, working in Iowa
Can an Illinois nurse work in Iowa?
Living in Illinois generally means you cannot obtain a multistate license, because Illinois is not a compact state. To work in Iowa, you will usually need a single-state Iowa license or a license by endorsement — not compact privilege.
Illinois vs Iowa at a glance
| Illinois (home) | Iowa (work) | |
|---|---|---|
| Compact status | Non-compact | Compact |
| Multistate license for residents | No | Yes |
| Compact nurses can practice here | No | Yes |
| Board of nursing | Illinois board ↗ | Iowa board ↗ |
Status shown as of 2026-06-17. Compact law changes — confirm anything that affects your license with the state board.
Recommended next step
Apply for a Iowa license by endorsement through the Iowa Board of Nursing.
Going the other way?
The answer is not the same in reverse. Living in Iowa and working in Illinois is a different question with a different answer, because the state that issues your license changes places with the state that has to honour it — Iowa to Illinois covers that direction.
Verify before you rely on this
Whether you can practice comes down to your actual license type, not just the two states’ status. Look your license up on Nursys to confirm it is single-state or multistate, then check Iowa’s current requirements with the Iowa Board of Nursing.
Illinois and Iowa share a border
That makes this pairing a compact seam — the line where multistate privilege stops. Iowa issues and honours multistate licenses; Illinois does not. The boundary between them is a road people cross without thinking, and licensure changes at it.
This matters most for the people it is easiest to overlook: anyone living on one side and working on the other, picking up shifts across the line, or covering a facility that draws staff from both. A license that works at home does not follow you across a border a few minutes away. Our 2026 report maps every seam like this one.
Where each license is actually checked
These two states do not verify the same way, and the difference matters at different moments: Illinois is what you will be asked to produce, Iowa is what an employer there will run.
Your home state
Illinois
IDFPR license lookup ↗Illinois is the state to copy if you verify at volume. It publishes a BULK lookup alongside the single one — the thing most boards leave you to solve by hammering a form built for one-off checks, which is how employers hit rate limits elsewhere. The trade-off is freshness: single lookup updates daily, bulk weekly, so use bulk for a roster sweep and single to confirm anything that matters today. IDFPR states its lookup is accepted as primary source by the Joint Commission, NCQA and the AOA’s accreditation program. One concrete cause of a blank result: allow up to 24 hours after a license is issued before it appears, which is exactly the window a new graduate is most likely to be checked in.
Where you want to work
Iowa
Iowa nursing license verification ↗Iowa publishes free public rosters alongside individual lookup, and neither requires an account. If you are credentialing at volume rather than checking one nurse, that bulk route exists here where most states force you through one-at-a-time searches or ongoing Nursys e-Notify enrollment.
How long each has been part of this
Iowa has recognized compact privilege since January 19, 2018. Illinois does not recognize it, so the comparison is not between two dates — it is between a state where privilege exists and one where a license has to be held outright.
The law behind each side
Compact privilege is not a courtesy between states — it is each legislature having enacted the compact into its own code. These are the provisions that do it.
Your home state
Illinois
Illinois has no compact statute, because it has not enacted the compact. Practicing here means holding an Illinois license.
Scope is set separately. What you may actually do here comes from 225 ILCS 65 (Nurse Practice Act) ↗.
Where you want to work
Iowa
Iowa Code ch. 152E (Nurse Licensure Compacts) ↗Iowa titles the chapter in the PLURAL — "Nurse Licensure Compacts" — because it carries the APRN compact alongside the RN/LPN one in the same place. That is unusual and easy to misread: finding APRN compact language in Iowa law does not mean APRN privilege is available, only that Iowa has legislated for it. Keep the two compacts separate when reading this chapter.
Scope is set separately. What you may actually do here comes from Iowa Code ch. 152 (Nursing) ↗.
Things to keep in mind
- A compact (multistate) license is issued by your primary state of residence. Since Illinois is non-compact, that option is not available through Illinois.
- If you later make a compact state your primary residence, you may become eligible for a multistate license then.
Frequently asked questions
Related pages
Sources & last reviewed
- NLC frequently asked questions— NCSBN / NurseCompact (nursecompact.com)
Covers multistate licenses, primary state of residence, the 60-day rule, telehealth, and license type coverage.
- NLC member states map & status— NCSBN / NurseCompact (nursecompact.com)
Identifies full members, partial implementation (Guam), and enacted/awaiting implementation (Massachusetts, U.S. Virgin Islands).
- Nursys QuickConfirm license verification— NCSBN / Nursys (nursys.com)
Recommended destination to verify whether a license is single-state or multistate.
Facts on this page were last reviewed against official sources on 2026-06-17. Compact law changes — always verify with your state board of nursing.