Maryland med spa questions, answered from statute
Every question below is answered from Maryland law, with the statute or board rule linked and the date we verified it. 22 of the 27 questions we ask have a verified Maryland answer today, most recently checked Sep 8, 2026. The rest are not listed, because we would be guessing.
Organized by The Practice Perimeter — the decisions every state makes about an aesthetic practice.
Ownership
Who is allowed to own this business, and in what corporate form?
- Can a non-physician own a med spa in Maryland?Md. Code, Corps. & Ass’ns §5-102(a)(1)
- What business structure does a med spa need in Maryland?Md. Code, Corps. & Ass’ns §5-102(a)(1)
- In Maryland, may a non-clinical owner or manager be paid a share of revenue?Md. Code, Health Occ. §1-302(a) (Referrals by health care practitioners — prohibited)
Oversight
Which physician relationship does the state require, and what must that physician actually do?
- Does a med spa in Maryland need a medical director?Md. Code Regs. 10.32.12.03(A) (Standards for the Licensed Physician Delegating to an Assistant)
- What must the supervising physician actually do in Maryland?Md. Code Regs. 10.32.12.04(B)(2)
- Who may operate a cosmetic laser in Maryland?Md. Code, Bus. Occ. & Prof. §5-101(o)(1)(iii)
- Can a medical assistant give injections in Maryland?Md. Code Regs. 10.32.12.04(D)(1)(j), (D)(2)(a)–(b)
- May an esthetician or laser technician perform microneedling in Maryland?Md. Code, Bus. Occ. & Prof. §5-101(o)(1)(i), (3) (“Provide esthetic services” — cosmetic microneedling included; ablation of the dermis excluded)
Intake
What has to happen before a patient can be treated, and can any of it be remote?
- Is an exam required before a patient can be treated in Maryland?Md. Code Regs. 10.32.05.05(A) (Patient Evaluation)
- Can the pre-treatment exam be done by telehealth in Maryland?Md. Code Regs. 10.32.05.05(A) (Patient Evaluation)
- Must someone be on site while a patient is treated in Maryland?Md. Code Regs. 10.32.12.04(B)(1), (D)(1), (D)(2)
- Can a med spa in Maryland offer compounded semaglutide or tirzepatide?Md. Code Regs. 10.34.19.03(B)(9) (Sterile Pharmaceutical Compounding — “Compounding” defined)
Who treats
Which license may perform which treatment, and under whose order?
- Can a registered nurse inject Botox or filler in Maryland?Md. Code Regs. 10.27.07.03(A) (Nurse Practitioner — Scope and Standards of Practice)
- Can a nurse practitioner treat without a supervising physician in Maryland?Md. Code Regs. 10.27.07.03(A) (Nurse Practitioner — Scope and Standards of Practice)
- Can a physician assistant inject or prescribe in Maryland?Md. Code, Health Occ. §14-306(a)-(b)
Facility
Does the premises itself have to be registered or licensed?
Marketing
What may this practice claim about its services, its staff, and their credentials?
Enforcement
What happens when one of the six above is crossed?
What is not here, and why
We ask 27 questions of every state we cover. Maryland answers 22 of them from primary sources we have verified. Where a question is missing it is because the Maryland record we hold does not address it — not because the answer is no. We would rather publish a shorter list than a page that looks like an answer and is not. As the Maryland record grows, questions appear here on their own.
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← Maryland overview · Regulatory monitoring and reference, not legal, medical, or compliance advice. Legislative data via LegiScan (CC BY 4.0).