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

Recommended; not universally mandated but expected for liability and compliance

Corporate Practice of Medicine

Lenient; MSO/management structures permitted, physician ownership not strictly required 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

Requires physician collaboration/supervision for injections

How the exam ties in

Required; in-person preferred, telehealth varies by board interpretation

What to verify in Maryland

Verify with Maryland Board of Physicians whether your proposed ownership/delegation model complies with current guidance on RN and NP/PA scope.

Primary source: Maryland Board of Physicians

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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