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Diagnostic and Imaging
February 7, 2025

Rad Tech State Licensing Requirements (2025)

Below is a comprehensive overview of radiography licensing requirements across all states, outlining key steps to practice as a radiologic technologist.
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Rad Tech State Licensing Requirements (2025)

Navigating the complex landscape of radiologic technology licensing can make or break your career plans. With requirements varying dramatically across all 50 states and multiple specializations, even experienced professionals struggle to stay compliant when moving between states or advancing their careers. This comprehensive guide will help you:

  • Understand which credentials you need for your chosen specialty
  • Compare requirements across states if you're planning to relocate
  • Identify the quickest path to qualification in your state
  • Avoid common compliance pitfalls that could delay your career

The Regulatory Landscape: A Complex Web of Requirements

Before diving into specific roles, you need to understand a crucial distinction: state licensing and ARRT certification are not the same thing. This catches many aspiring rad techs by surprise. Here's what you need to know:

  • More than 75% of states require a state license before you can legally work as a radiologic technologist
  • ARRT certification is separate from state licensing, though many states use ARRT credentials in their licensing decisions
  • Some states require ARRT certification before you can obtain a state license, while others don't
  • Having an ARRT credential doesn't automatically qualify you to work in every state

Understanding State Regulation Types

According to the American Society of Radiologic Technologists, state regulation of radiologic technology generally falls into three categories:

  1. Licensure: This represents the highest level of regulation, where states grant formal permission to practice through licenses, certificates, or permits. You'll need to meet specific state standards and apply directly to the state licensing board - this process is separate from any ARRT credentials you may hold.
  2. Standard-Based Regulation: Under this framework, state regulatory boards mandate specific education and training requirements, typically including national credentials, before allowing practice.
  3. Equipment-Based Regulation: Some states focus their oversight on equipment operation, establishing specific requirements for operating various imaging machines and devices.

Federal Standards

While most regulation occurs at the state level, mammography stands out as having federal oversight. The Mammography Quality Standards Act (MQSA) establishes nationwide standards that all states must follow, ensuring consistent quality and safety in mammographic imaging.

State-by-State Licensing Requirements for Radiologic Technologists

The following information on radiography state licensure requirements is adapted from Northern Michigan University’s Radiography Licensure Disclosure. It provides an overview of education, certification, and examination prerequisites that prospective radiologic technologists must meet in various U.S. states and territories. These guidelines may change, so individuals should verify current rules and regulations with the relevant state board or agency before applying for licensure.

State or Territory Licensing Requirements Board
Alabama No state license required; most employers require ARRT certification. Alabama Department of Public Health, Office of Radiation Control
Alaska Must hold ARRT certification; regulated by the Alaska State Medical Board. Alaska State Radiology Licensing
American Samoa National ARRT certification required. American Samoa Department of Health
Arizona Must have a valid ARRT or NMTCB certification for state licensure. Arizona Department of Health Services Bureau of Special Licensing
Arkansas Graduate of an accredited program and pass ARRT exam. Arkansas Department of Health
California Must pass ARRT Radiography exam; license issued by the state’s Radiologic Health Branch. California Department of Public Health – Radiologic Health Branch
Colorado No state license; ARRT or NMTCB certification accepted, but not required. Colorado Department of Public Health and Environment – X-Ray Certification Unit
Connecticut Graduate of a JRCERT-accredited program or equivalent; must pass ARRT in Radiography or Radiation Therapy. Connecticut Department of Public Health Radiographer Licensure
Delaware Must pass ARRT exam (Radiography or Radiation Therapy). One 90-day temporary certificate available. Delaware Department of Public Health – Office of Radiation Control
District of Columbia No state license required; most employers require ARRT certification. District of Columbia Department of Licensing & Consumer Protection
Florida Complete a program recognized by ARRT or hold a current national credential; licensed by Florida Dept. of Health. Florida Department of Health – Radiologic Technology Certification
Georgia No state license; most employers require ARRT certification. Georgia Secretary of State, Professional Licensing Division
Guam No state-issued license; ARRT certification typically required by employers. Health Professional Licensing Office – Department of Public Health & Social Services
Hawaii Must be currently registered with ARRT in the appropriate field. Hawaii Department of Health Radiologic Technology Board
Idaho No state license; employers may require ARRT certification. Idaho Department of Health & Welfare
Illinois Must pass ARRT (R) exam to be accredited as a medical radiation technologist. Illinois Emergency Management Agency
Indiana Must pass ARRT or complete an approved educational program recognized by ARRT. Indiana Department of Health – Division of Radiology and Weights & Measures
Iowa Requires proof of passing ARRT (R) exam. Iowa Department of Public Health – Bureau of Radiological Health
Kansas Licensure may be waived if the applicant holds equivalent out-of-state license and current ARRT or similar certification. Kansas Board of Healing Arts
Kentucky Complete an accredited program in imaging or therapy; must hold valid ARRT or NMTCB certification. Kentucky Board of Medical Imaging and Radiation Therapy
Louisiana Must hold valid ARRT certification or graduate from an ARRT-recognized program. Louisiana State Radiologic Technology Board of Examiners
Maine Graduation from a JRCERT-accredited program and national certifications or exam passage required. State of Maine Professional & Financial Regulation
Maryland Must graduate from a JRCERT-accredited program and have ARRT certification/registration. Maryland Board of Physicians
Massachusetts ARRT certification/registration required for a radiologic technologist license. Massachusetts Department of Public Health – Radiation Control Program
Michigan No state license; many employers require ARRT. Michigan Occupational Safety and Health Administration
Minnesota Requires ARRT national certification; regulated by the MN Dept. of Health. Minnesota Department of Health – Radiation Control
Mississippi Must hold or be eligible for ARRT certification; graduate of a JRCERT-accredited program. Mississippi State Department of Health – Professional Licensure Division
Missouri No state license; most employers require ARRT. Missouri Division of Professional Registration
Montana Must provide evidence of ARRT certification in radiography. Montana Board of Radiologic Technologists
Nebraska Requires proof of ARRT registration as a medical radiographer (no adverse ARRT record). Nebraska Department of Health and Human Services
Nevada No state license; accreditation by ARRT or similar credentialing body is typical. Nevada State Division of Public and Behavioral Health
New Hampshire Must be certified by ARRT; licensure through the Office of Professional Licensure. New Hampshire Office of Professional Licensure and Certification
New Jersey Current ARRT certification required; must graduate from a JRCERT-accredited program. State of New Jersey Department of Environmental Protection – Radiation Protection Element
New Mexico Must hold a current ARRT certification; regulated by the NM Environment Department. New Mexico Environment Department
New York Requires completion of an accredited program and passing ARRT exam. New York State Department of Health
North Carolina No state license; ARRT certification generally required by employers. North Carolina Department of Commerce – Boards & Commissions
North Dakota Must complete an accredited program and pass ARRT exam for licensure. North Dakota Medical Imaging and Radiation Therapy Board
Northern Mariana Islands Licensure via ARRT examination under contract; must meet ARRT minimum standards. CNMI Board of Professional Licensing – Health Care Professions Licensing Board
Ohio Must hold ARRT certification or complete an accredited program to be eligible for licensure. Ohio Department of Health – Radiologic Licensure
Oklahoma No general state license; most employers require ARRT and/or experience. Radiologist assistants must pass ARRT exam. Oklahoma Board of Medical Licensure & Supervision
Oregon Must have ARRT certification or be eligible for the ARRT exam after completing an accredited program. Oregon Board of Medical Imaging
Pennsylvania Recognizes ARRT certification; state focuses on continuing education requirements. Pennsylvania State Board of Medicine
Puerto Rico Requires ARRT certification or proof of graduation from a JRCERT-accredited program. Licensure and Discipline / Puerto Rico Examination Board for Radiology and Radiotherapy
Rhode Island ARRT certification and graduation from an accredited program required for licensure. State of Rhode Island Department of Health
South Carolina Must have ARRT certification or be a recent graduate of an accredited program (proof required). South Carolina Radiation Quality Standards Association
South Dakota No state license; most employers require ARRT. South Dakota Department of Health
Tennessee ARRT certification or graduate of JRCERT-accredited program required for licensure. Tennessee Department of Health – Health Professional Boards
Texas Must hold ARRT certification or graduate of a JRCERT program. Texas Medical Jurisprudence Exam also required. Texas Medical Board – Medical Radiologic Technologist
U.S. Virgin Islands Allied Health Clearance requires ARRT credentials and updated certifications. U.S. Virgin Islands Department of Health
Utah Graduate of accredited radiologic technology program or ARRT certification; must pass ARRT exam. Utah Department of Commerce – Division of Occupational and Professional Licensing
Vermont Requires current ARRT certification in radiography. Vermont Secretary of State
Virginia ARRT certification in Radiography or completion of JRCERT-accredited program required for licensure. Virginia Department of Health Professions – Board of Medicine
Washington Must graduate from JRCERT-accredited program or hold current ARRT certification. Washington State Department of Health – Radiologic Technologist Credentialing
West Virginia Requires JRCERT-accredited program completion and current ARRT certification. West Virginia Medical Imaging and Therapy Technology Board of Examiners
Wisconsin Pro-Credential offered for JRCERT-accredited program graduates with ARRT certification. State of Wisconsin Department of Safety and Professional Services
Wyoming Must complete a JRCERT-accredited program, verify ARRT exam date, and pass ARRT to obtain full licensure. Wyoming Board of Radiologic Technologist Examiners
Program outcomes may vary depending on each institution's specific curriculum and employment opportunities are not guranteed.