Ownership rules

Non-physicians may own via MSO with supervising physician

Corporate Practice of Medicine

Lenient; MSO structures permitted

The medical-director angle

Required for medical spa operations Ownership and the medical-director requirement are usually two sides of the same compliance coin.

What to verify in Iowa

Establish a written medical director agreement that clearly defines supervision responsibilities and ensure all RN/NP/PA delegations are documented.

Primary source: Iowa Medical Board / Iowa Board of Nursing

General business information for Iowa medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Iowa board (and your own counsel) before you act.

See the full Iowa regulation profile →