What license and training do you need to inject Botox and fillers in Maryland?

No state-mandated injector training beyond licensure; facility-specific training protocols recommended MD/DO, NP/PA under physician supervision, RN under physician delegation

Maryland · Moderate

What Training Do You Need to Inject Botox in Maryland?

Maryland doesn't hand the syringe to just anyone. Here's the license, the training, and the supervision that Maryland expects before you can inject.

By Evan at Inside MedSpa

Training & certification expected

No state-mandated injector training beyond licensure; facility-specific training protocols recommended

The license that lets you inject

MD/DO, NP/PA under physician supervision, RN under physician delegation

If you’re an RN

Yes, under physician delegation and supervision

Why the order still matters

Required; in-person preferred, telehealth varies by board interpretation Training gets you the skill; a valid order or good-faith exam is what keeps the treatment lawful.

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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