Working in Missouri on an out-of-state nursing license
Last verified against Missouri State Board of Nursing.
The five facts
- Compact status
- Member (implemented), January 19, 2018
- Endorsement fee
- $105
- Temporary permit
- 6 months, issued once per lifetime, no extra fee, issued automatically on qualification.
- Processing
- Not stated for endorsement. (not a board figure)
- Portal
- MOPRO
Check your own licence against Missouri
Your Texas multistate license already authorizes practice in Missouri.
- No Missouri application, fee, or verification is required.
- You practice under Missouri'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
Data as of September 2, 2026.
Nothing you enter here is stored. Trust keeps credentials on your phone, not on our servers.
If you hold a multistate license
Missouri honors it. You can work in Missouri today, in person or by telehealth, with no Missouri application, fee, or verification. You follow the Missouri nurse practice act while your patient is located in Missouri.
If you move your primary residence to Missouri you have 60 days after the move to apply for a Missouri license by endorsement (NLC Rule 402(2), effective January 2, 2024). Your former multistate license is deactivated when the Missouri license issues — you do not hold two.
Licensure by endorsement in Missouri
- 01
Open a MOPRO account
Create your MOPRO account and start the RN licensure-by-endorsement application with the Missouri State Board of Nursing.
- 02
Request Nursys verification
Request license verification through Nursys for every state that applies to you. Missouri accepts Nursys verification.
- 03
Complete fingerprints and the background check
Missouri requires a fingerprint-based criminal background check: Register at machs.mo.gov with registration number 0001; do not register until you have a Social Security number.
- 04
Clear the course requirements
Missouri mandates no additional course at endorsement.
- 05
Pay the application fee
The endorsement fee is $105. Confirm the amount on the board's fee page before you pay.
- 06
Request the temporary permit
Request the temporary permit: 6 months, issued once per lifetime, no extra fee, issued automatically on qualification.
- 07
Wait for the permanent license
Not stated for endorsement. (not a board figure) Verify the license on the board's public lookup, then store the expiration in Trust.
Missouri requires a valid U.S. Social Security number on the endorsement application.
The board's fingerprint page says to apply through MOPRO, but the older endorsement instruction letter still describes mailing the application. Follow MOPRO.
Evidence of U.S. citizenship or lawful presence is required.
What it costs, all in
| Item | Amount |
|---|---|
| Endorsement application | $105 |
| MACHS fingerprint background check (registration 0001) | varies |
| Nursys verification | $30 |
How long it takes
Not stated for endorsement. (not a board figure)
The temporary permit is the difference between waiting and working: 6 months, issued once per lifetime, no extra fee, issued automatically on qualification. Missouri issues no physical permit card; check status online.
The Missouri State Board of Nursing publishes no processing commitment, so treat any timeline you read — including this one — as an estimate.
EMTs and paramedics
Missouri — EMS Compact: Member (operational), since July 9, 2018.
If your home state is also an operational member and you are not relocating, your EMT, AEMT, or Paramedic license carries a privilege to practice in Missouri with no application and no fee — provided you are 18 or older, unrestricted, working under a physician medical director, and affiliated with an EMS agency authorized in Missouri. Moving there means applying for a Missouri license.
After you’re licensed
A new license starts a new renewal clock. The Missouri RN renewal guide covers the cycle length, the CE the board counts, and the fee — read it once, then let Trust hold the date.
Questions people ask
Is Missouri a compact state?
Yes. Missouri 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 Missouri 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 Missouri application or fee is required, and you practice under Missouri's nurse practice act while your patient is there. Moving your residence to Missouri starts a 60-day clock to apply by endorsement.
How much does it cost to transfer an RN license to Missouri?
The Missouri State Board of Nursing endorsement fee is $105. Budget for the extras too: MACHS fingerprint background check (registration 0001) (varies), Nursys verification $30.
Does Missouri offer a temporary permit while my endorsement is pending?
Yes. 6 months, issued once per lifetime, no extra fee, issued automatically on qualification. Missouri issues no physical permit card; check status online.
How long does Missouri RN endorsement take?
Not stated for endorsement. (not a board figure) Treat it as an estimate, not a board commitment.
Do I need fingerprints for a Missouri nursing license?
Yes. Register at machs.mo.gov with registration number 0001; do not register until you have a Social Security number
What courses does Missouri require before it issues an endorsement license?
Missouri mandates no additional course at endorsement.