Does a med spa have to register or hold a license in Alabama?

Alabama actually registers the provider, and dates the renewal. Every physician proposing to perform any LLBD procedure must register with the board before performing any procedure, must notify the Board in writing of any change or addition of facility location where such procedures occur or are offered, and must renew that registration annually by 31 JANUARY. And the reporting duty has a clock on it: every physician who performs or supervises a covered procedure must report to the Board within three business days any event that resulted in emergency transfer to a hospital, unscheduled hospitalization related to the procedure, third-degree dermal injury, or death. On the drug side, the claims below come from the Pharmacy Act and the Board of Pharmacy’s rules, and they answer the SUPPLY question rather than naming any drug: § 34-23-11(a) puts a practitioner’s own PERSONAL compounding, dispensing, administering or supplying to his or her own patient outside that Act altogether, and § 34-23-1 defines the routes by which a compounded drug otherwise reaches a clinic — a licensed PHARMACY, a 503b outsourcing facility holding an Alabama permit, or a REPACKAGER, whose definition expressly excludes a physician dispensing to a patient in his or her own practice. Compounding pharmacies must meet USP-NF by rule. These claims establish the SUPPLY route. None of them mentions GLP-1, none surveys the Board of Medical Examiners’ LLBD chapter for a compounded-drug provision, and none reaches whether any particular drug may be compounded.