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Working in Maryland on an out-of-state nursing license

Last verified against Maryland Board of Nursing.

The five facts

Compact status
Member (implemented), January 19, 2018
Endorsement fee
$230
Temporary permit
90 days, $70, issue timing not stated by the board.
Processing
Not stated by the board. (not a board figure)

Check your own licence against Maryland

Today

Your Texas multistate license already authorizes practice in Maryland.

  • No Maryland application, fee, or verification is required.
  • You practice under Maryland's nurse practice act while your patient is located there.
  • Keep your Texas license active and unencumbered; a restriction in any state suspends the multistate privilege everywhere.
Earliest start
Today
Fee
$0

Maryland renewal rules

Data as of September 2, 2026.

Full Maryland pageTrack the new license in Trust

Nothing you enter here is stored. Trust keeps credentials on your phone, not on our servers.

If you hold a multistate license

Maryland honors it. You can work in Maryland today, in person or by telehealth, with no Maryland application, fee, or verification. You follow the Maryland nurse practice act while your patient is located in Maryland.

If you move your primary residence to Maryland you have 60 days after the move to apply for a Maryland license by endorsement (NLC Rule 402(2), effective January 2, 2024). Your former multistate license is deactivated when the Maryland license issues — you do not hold two.

Licensure by endorsement in Maryland

  1. 01

    Open a MDH CHART (launched June 22, 2026; paper applications ended July 15, 2026) account

    Create your MDH CHART (launched June 22, 2026; paper applications ended July 15, 2026) account and start the RN licensure-by-endorsement application with the Maryland Board of Nursing.

  2. 02

    Request Nursys verification

    Request license verification through Nursys for every state that applies to you. Maryland accepts Nursys verification.

  3. 03

    Complete fingerprints and the background check

    Maryland requires a fingerprint-based criminal background check: CJIS check via Live Scan in Maryland or out-of-state fingerprint card (Authorization # 9300000850, ORI MD920480Z); submit the application within 48 hours of fingerprinting.

  4. 04

    Clear the course requirements

    Maryland mandates no additional course at endorsement.

  5. 05

    Pay the application fee

    The endorsement fee is $230. Confirm the amount on the board's fee page before you pay.

  6. 06

    Request the temporary permit

    Request the temporary permit: 90 days, $70, issue timing not stated by the board.

  7. 07

    Wait for the permanent license

    Not stated by the board. (not a board figure) Verify the license on the board's public lookup, then store the expiration in Trust.

Maryland requires a valid U.S. Social Security number on the endorsement application.

Applicants without an SSN or ITIN must file a paper application.

Since October 1, 2025 (SB 72), nurses with a valid unrestricted license from another state are not asked for additional English proficiency evidence.

What it costs, all in

ItemAmount
Endorsement application$230
Temporary 90-day license (optional)$70
CJIS criminal history records checkvaries
Nursys verification of original state$30

How long it takes

Not stated by the board. (not a board figure)

The temporary permit is the difference between waiting and working: 90 days, $70, issue timing not stated by the board. Not available to anyone holding an active multistate license.

The Maryland Board of Nursing publishes no processing commitment, so treat any timeline you read — including this one — as an estimate.

EMTs and paramedics

Maryland — EMS Compact: Not a member.

Maryland is not an EMS Compact member, so there is no privilege to practice. Apply for reciprocity through the Maryland state EMS office; most states ask for current NREMT certification and a background check.

How Trust works for EMS clinicians

After you’re licensed

A new license starts a new renewal clock. The Maryland RN renewal guide covers the cycle length, the CE the board counts, and the fee — read it once, then let Trust hold the date.

Add your Maryland license to Trust

Questions people ask

Is Maryland a compact state?

Yes. Maryland is an implemented member of the Nurse Licensure Compact as of January 19, 2018, so a multistate license from another implemented member state authorizes practice there.

Can I work in Maryland with a multistate license from another state?

Yes, if your primary state of residence issued the multistate license and it is active and unencumbered. No Maryland application or fee is required, and you practice under Maryland's nurse practice act while your patient is there. Moving your residence to Maryland starts a 60-day clock to apply by endorsement.

How much does it cost to transfer an RN license to Maryland?

The Maryland Board of Nursing endorsement fee is $230. Budget for the extras too: Temporary 90-day license (optional) $70, CJIS criminal history records check (varies), Nursys verification of original state $30.

Does Maryland offer a temporary permit while my endorsement is pending?

Yes. 90 days, $70, issue timing not stated by the board. Not available to anyone holding an active multistate license.

How long does Maryland RN endorsement take?

Not stated by the board. (not a board figure) Treat it as an estimate, not a board commitment.

Do I need fingerprints for a Maryland nursing license?

Yes. CJIS check via Live Scan in Maryland or out-of-state fingerprint card (Authorization # 9300000850, ORI MD920480Z); submit the application within 48 hours of fingerprinting

What courses does Maryland require before it issues an endorsement license?

Maryland mandates no additional course at endorsement.

Related states

All jurisdictions and the compact table

Sources

Last verified .