By State

Med Spa Medical Director Requirements, State by State

Whether you need a medical director, who can serve, how the role differs from ownership, and how to pay them without fee-splitting — for all 50 states and D.C. Each page is built from validated state sources and reviewed by Faisal Darwiche, NP.

Choose your state

A medical director is the licensed physician clinically responsible for the practice. In most states cosmetic injectables are the practice of medicine, so the role is required and must be real — not a signature for hire.

Alaska
Medical director rules
AK
Arizona
Medical director rules
AZ
Colorado
Medical director rules
CO
Connecticut
Medical director rules
CT
Delaware
Medical director rules
DE
Washington, D.C.
Medical director rules
DC
Hawaii
Medical director rules
HI
Idaho
Medical director rules
ID
Iowa
Medical director rules
IA
Kansas
Medical director rules
KS
Kentucky
Medical director rules
KY
Maine
Medical director rules
ME
Maryland
Medical director rules
MD
Massachusetts
Medical director rules
MA
Minnesota
Medical director rules
MN
Montana
Medical director rules
MT
Nebraska
Medical director rules
NE
Nevada
Medical director rules
NV
New Hampshire
Medical director rules
NH
New Mexico
Medical director rules
NM
New York
Medical director rules
NY
North Dakota
Medical director rules
ND
Oregon
Medical director rules
OR
Rhode Island
Medical director rules
RI
South Dakota
Medical director rules
SD
Utah
Medical director rules
UT
Vermont
Medical director rules
VT
Washington
Medical director rules
WA
West Virginia
Medical director rules
WV
Wyoming
Medical director rules
WY
Alabama
Medical director rules
AL
Arkansas
Medical director rules
AR
Illinois
Medical director rules
IL
Indiana
Medical director rules
IN
Louisiana
Medical director rules
LA
Mississippi
Medical director rules
MS
New Jersey
Medical director rules
NJ
Ohio
Medical director rules
OH
Pennsylvania
Medical director rules
PA
Wisconsin
Medical director rules
WI
Missouri
Medical director rules
MO
Michigan
Medical director rules
MI
California
Medical director rules
CA
Florida
Medical director rules
FL
Georgia
Medical director rules
GA
North Carolina
Medical director rules
NC
Oklahoma
Medical director rules
OK
South Carolina
Medical director rules
SC
Tennessee
Medical director rules
TN
Texas
Medical director rules
TX
Virginia
Medical director rules
VA