Occupational Therapy License from Michigan to Illinois: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board) ↗
A occupational therapy license transfers from Michigan to Illinois by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board), verify your Michigan license, and meet Illinois's endorsement requirements. The NBCOT certification exam is not retaken. Endorsement applicants must show passage of the NBCOT OTR exam; IDFPR staff retrieve the score from the NBCOT portal during evaluation. IDFPR's 'Qualifications for Licensure' document does not require current NBCOT certification and lists no Illinois jurisprudence exam..
Verify this exact pair in the checker
Same data, interactive — with share link and board links.
Verdict
Licensure by endorsement
Neither Michigan nor Illinois is issuing OT Compact privileges, so there is one route: a Illinois license by endorsement from the Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board). The board verifies your Michigan license and your NBCOT exam passage; being licensed in Michigan neither speeds nor slows Illinois's standard out-of-state review.
What changes, Michigan → Illinois
| Michigan (current) | Illinois (destination) | |
|---|---|---|
| OT Compact status | OT Compact enacted — not yet issuing | Licensure by endorsement |
| Application fee | $187.40 (combined application fee + 2-year license fee for 'OT by Examination or Endorsement', paid by card through MiPLUS, per LARA's Occupational Therapist Licensing Guide (revision date 10/01/23, read from an Internet Archive copy of 2025-03-03). The April 2026 LARA OT page links a newer file revision of the same guide that could not be retrieved, so confirm the amount in MiPLUS. Fingerprint vendor fee and PSI jurisprudence-exam fee not stated in the guide. NOT an OT Compact privilege fee (Michigan is not issuing privileges).) | The endorsement fee is set in 68 Ill. Adm. Code 1315 but does not appear in IDFPR's OT qualifications document, and the Illinois General Assembly rules site refused connections on 2026-09-27, so the amount could not be verified. |
| Processing time | LARA's OT licensing guide and OT page publish no processing time | IDFPR publishes no OT processing timeframe; an application stays active for three years from receipt |
| Licensing authority | Michigan Board of Occupational Therapists (LARA Bureau of Professional Licensing) | Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board) |
The destination column is what you must satisfy — Illinois sets the rules for this move.
Step by step
- Confirm Illinois's current requirements on the Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board) website (linked below) — rules change.
- Submit the endorsement application to the Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board) (application linked below).
- Arrange license verification from your current state via the verification system.
- Master's degree or higher from a program that meets or exceeds ACOTE standards (upload the official sealed transcript).
- Passing score on the NBCOT OTR exam, retrieved by IDFPR from the NBCOT portal.
- Certification of licensure from the first jurisdiction where you were licensed and from every jurisdiction where you are currently licensed (primary-source website printouts accepted).
- Apply online through IDFPR's CORE system; all required documents must be uploaded before the application can be submitted.
- Pay the fees (The endorsement fee is set in 68 Ill. Adm. Code 1315 but does not appear in IDFPR's OT qualifications document, and the Illinois General Assembly rules site refused connections on 2026-09-27, so the amount could not be verified.) and allow IDFPR publishes no OT processing timeframe; an application stays active for three years from receipt.
Official links
Related guides
Frequently asked questions
Can I use my Michigan occupational therapy license in Illinois?
A occupational therapy license transfers from Michigan to Illinois by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board), verify your Michigan license, and meet Illinois's endorsement requirements. The NBCOT certification exam is not retaken. Endorsement applicants must show passage of the NBCOT OTR exam; IDFPR staff retrieve the score from the NBCOT portal during evaluation. IDFPR's 'Qualifications for Licensure' document does not require current NBCOT certification and lists no Illinois jurisprudence exam..
Do I retake the NBCOT exam moving from Michigan to Illinois?
No. The NBCOT certification exam is not retaken. Endorsement applicants must show passage of the NBCOT OTR exam; IDFPR staff retrieve the score from the NBCOT portal during evaluation. IDFPR's 'Qualifications for Licensure' document does not require current NBCOT certification and lists no Illinois jurisprudence exam.
How much does a Illinois OT license cost for someone licensed in Michigan?
The endorsement fee is set in 68 Ill. Adm. Code 1315 but does not appear in IDFPR's OT qualifications document, and the Illinois General Assembly rules site refused connections on 2026-09-27, so the amount could not be verified..
How long does Illinois take to process the application?
IDFPR publishes no OT processing timeframe; an application stays active for three years from receipt.
Can I use the OT Compact to work in Illinois?
Not for this move. Illinois has not enacted the OT Compact. A Illinois license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- IDFPR, Occupational Therapy profession page ↗ (accessed 2026-09-27)
- IDFPR, Qualifications for Licensure: Occupational Therapist (056, effective 02/2026) ↗ (accessed 2026-09-27)
- Michigan LARA — Occupational Therapy board page (licensing guides, MiPLUS, State License Search links) (Internet Archive copy of 2026-04-14; michigan.gov returned HTTP 403 to automated requests on 2026-09-27) ↗ (accessed 2026-09-27)
- Michigan LARA — Occupational Therapist Licensing Guide, revision date 10/01/23 (endorsement requirements, $187.40 fee) (Internet Archive copy of 2025-03-03) ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (Michigan: Not Yet accepting applications) ↗ (accessed 2026-09-27)
Reviewed by Billy Reiner, Editor · verified against primary sources 2026-09-27
How we verify · All sources · spot an error? [email protected]