Maryland · Moderate

Do You Need a Medical Director for a Med Spa in Maryland?

Whether Maryland requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the Maryland picture.

By Evan at Inside MedSpa

Medical director requirement

Required for RN/LPN injectors; physician supervision mandatory

Corporate Practice of Medicine

Lenient; MSO/management structures permitted This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Who can supervise or delegate

NP/PA may inject under physician collaboration; independent practice limited

How the exam ties in

Required; in-person or telehealth permitted

What to verify in Maryland

Establish clear physician delegation protocols and ensure medical director oversight for all injector staff.

Primary source: Maryland Medical Board; Board of Nursing

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

See the full Maryland regulation profile →

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