Ownership rules

Non-physicians may own via MSO/management structure with physician oversight

Corporate Practice of Medicine

Lenient; MSO/management 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 Virginia

Ensure your medical director is licensed in Virginia and has clear written delegation protocols for all injectors.

Primary source: Virginia Medical Board; Virginia Board of Nursing

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

See the full Virginia regulation profile →