Ownership rules

Physician-owned or MSO with physician as owner/controlling interest

Corporate Practice of Medicine

Strict; physician-owned or MSO with strong physician control required

The medical-director angle

Required; physician must oversee all aesthetic procedures and injections Ownership and the medical-director requirement are usually two sides of the same compliance coin.

What to verify in Pennsylvania

Consult Pennsylvania Medical Board counsel on RN injection authority before hiring; ensure physician ownership or controlling interest in the medical spa entity.

Primary source: Pennsylvania Medical Board; Pennsylvania Board of Nursing

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

See the full Pennsylvania regulation profile →