Last reviewed November 6, 2026 by The Portrait Team. Each row links to its official source.
At a glance
Jump to the chart to explore ownership rules and the official sources behind them.23 rows have every cell matched across all checks; 18 rows have at least one unclear cell; 10 rows are awaiting an official source. Ownership rules are separate from rules about who may perform a treatment. The chart is a dated snapshot. Confirm with your state board before relying on an answer. Planning to open a med spa starts with questions about ownership. This chart brings together quoted official text on who may own a business that provides medical care. Read the linked source alongside each answer.
Some questions remain unanswered by the cited text. Where independent checks disagreed, the chart flags the uncertainty. Rows marked Verifying are intentionally blank because an official source has not yet been fetched.
Who can own a med spa in each state? Who may own a med spa depends on the applicable rules about owning or controlling a business that provides medical care. Use the chart to read the cited official text, then confirm with your state board.
This chart is general information, not legal advice. Confirm with your state board and, if needed, a lawyer licensed in your state.
Med spa ownership by state, part 1 of 4: Alabama to Iowa State Who can own CPOM Medical director Source Verified on Alabama Anyone, including owners with no health license No, per the cited source Not settled by the cited source Alabama Medical Licensure Commission and Board of Medical Examiners (opens in a new tab) 2026-11-06 Alaska Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Rules unclear, check with your state board Not settled by the cited source Alaska Stat. 10.45.050 (opens in a new tab) Alaska DCCED (opens in a new tab) 2026-11-06 Arizona Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source Ariz. Rev. Stat. 10-2220 (opens in a new tab) 2026-11-06 Arkansas Verifying Verifying Verifying Verifying Verifying California Physicians, NPs (with physicians), PAs (with physicians), RNs (with physicians). Not owners with no health license Yes: limits lay ownership or control Physician required Medical Board of California (opens in a new tab) Medical Board of California: Medical Spas page (opens in a new tab) 2026-11-06 Colorado Verifying Verifying Verifying Verifying Verifying Connecticut Not settled by the cited source, check with your state board Not settled by the cited source Physician, PA or APRN Connecticut General Assembly (opens in a new tab) 2026-11-06 Delaware Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source Del. Code tit. 8 (opens in a new tab) 2026-11-06 District of Columbia Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Rules unclear, check with your state board Not settled by the cited source DC Board of Medicine Policy No. 15-02 (opens in a new tab) D.C. Code Title 29 (opens in a new tab) 2026-11-06 Florida Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Physician required Fla. Stat. 621.03 (opens in a new tab) Fla. Stat. 458.348 (opens in a new tab) 2026-11-06 Georgia Not settled by the cited source, check with your state board Not settled by the cited source Not settled by the cited source Georgia Composite Medical Board (opens in a new tab) 2026-11-06 Hawaii Verifying Verifying Verifying Verifying Verifying Idaho Verifying Verifying Verifying Verifying Verifying Illinois Physicians, NPs. Not owners with no health license. Unclear for PAs, RNs: check with your state board Yes: limits lay ownership or control Physician required IDFPR and IDPH joint memo regarding medical spa services (opens in a new tab) 2026-11-06 Indiana Verifying Verifying Verifying Verifying Verifying Iowa Not settled by the cited source, check with your state board Not settled by the cited source Physician required Iowa Admin. Code 653-13.8 (opens in a new tab) 2026-11-06
Med spa ownership by state, part 2 of 4: Kansas to New Mexico State Who can own CPOM Medical director Source Verified on Kansas Physicians. Not owners with no health license. Not settled for NPs, PAs, RNs Yes: limits lay ownership or control Not settled by the cited source Kansas State Board of Healing Arts (opens in a new tab) Kansas State Board of Healing Arts: General Counsel FAQ: Corporations (opens in a new tab) 2026-11-06 Kentucky NPs. Owners with no license: not settled. Not settled for physicians, PAs, RNs Not settled by the cited source Rules unclear, check with your state board Kentucky Board of Nursing (opens in a new tab) 2026-11-06 Louisiana Anyone, including owners with no health license No, per the cited source Not settled by the cited source Louisiana State Board of Medical Examiners (opens in a new tab) 2026-11-06 Maine Verifying Verifying Verifying Verifying Verifying Maryland Not settled by the cited source, check with your state board Not settled by the cited source Not settled by the cited source COMAR 10.32.09 (opens in a new tab) 2026-11-06 Massachusetts Anyone, including owners with no health license Not settled by the cited source Not settled by the cited source Massachusetts DPH (opens in a new tab) 2026-11-06 Michigan Physicians, PAs (with physicians). Owners with no license: not settled. Not settled for NPs, RNs Not settled by the cited source Not settled by the cited source Mich. Comp. Laws 450.4904 (opens in a new tab) 2026-11-06 Minnesota Rules unclear, check with your state board Not settled by the cited source Not settled by the cited source Minn. Stat. 319B.40 (opens in a new tab) 2026-11-06 Mississippi Physicians. Not settled for NPs, PAs, RNs. Unclear for owners with no license: check with your state board No, per the cited source Not settled by the cited source Mississippi State Board of Medical Licensure (opens in a new tab) 2026-11-06 Missouri Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source Mo. Rev. Stat. 356.111 (opens in a new tab) 2026-11-06 Montana Anyone, including owners with no health license No, per the cited source Not settled by the cited source Montana Board of Barbers and Cosmetologists (opens in a new tab) 2026-11-06 Nebraska Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source Neb. Rev. Stat. 21-2202 (opens in a new tab) 2026-11-06 Nevada Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source Nev. Rev. Stat. 89.070 (opens in a new tab) 2026-11-06 New Hampshire Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source N.H. Rev. Stat. ch. 294-A (opens in a new tab) 2026-11-06 New Jersey Verifying Verifying Verifying Verifying Verifying New Mexico Anyone, including owners with no health license No, per the cited source Rules unclear, check with your state board New Mexico Medical Board (opens in a new tab) New Mexico Medical Board: Medical spa practice guidance (opens in a new tab) 2026-11-06
Med spa ownership by state, part 3 of 4: New York to Vermont State Who can own CPOM Medical director Source Verified on New York Physicians. Not owners with no health license. Unclear for NPs, PAs, RNs: check with your state board Yes: limits lay ownership or control Not settled by the cited source NYSED Office of the Professions (opens in a new tab) N.Y. Business Corporation Law 1507 (opens in a new tab) 2026-11-06 North Carolina Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source N.C. Gen. Stat. 55B-4 (opens in a new tab) 2026-11-06 North Dakota Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source N.D. Cent. Code ch. 10-31 (opens in a new tab) 2026-11-06 Ohio Anyone, including owners with no health license No, per the cited source Physician required State Medical Board of Ohio (opens in a new tab) State Medical Board of Ohio: The Responsibilities of a Medical Director (opens in a new tab) 2026-11-06 Oklahoma Not settled by the cited source, check with your state board Not settled by the cited source Rules unclear, check with your state board Oklahoma State Board of Osteopathic Examiners (opens in a new tab) 2026-11-06 Oregon Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source ORS 58.500 (opens in a new tab) Oregon Medical Board (opens in a new tab) 2026-11-06 Pennsylvania Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source 15 Pa.C.S. 2923 (opens in a new tab) 2026-11-06 Rhode Island Anyone, including owners with no health license Rules unclear, check with your state board Not settled by the cited source Rhode Island Department of Health (opens in a new tab) 2026-11-06 South Carolina Physicians. Owners with no license: not settled. Not settled for NPs, PAs, RNs Not settled by the cited source Not settled by the cited source S.C. Code tit. 33 (opens in a new tab) 2026-11-06 South Dakota Physicians. Owners with no license: not settled. Unclear for NPs, PAs, RNs: check with your state board Not settled by the cited source Not settled by the cited source S.D. Codified Laws 47-11-3 (opens in a new tab) 2026-11-06 Tennessee Physicians. Not RNs. Owners with no license: not settled. Unclear for NPs, PAs: check with your state board Rules unclear, check with your state board Physician required Tennessee Board of Medical Examiners (opens in a new tab) Tennessee Attorney General Opinion No. 07-116 (opens in a new tab) 2026-11-06 Texas Physicians, PAs (with physicians). Owners with no license: not settled. Not settled for NPs, RNs Rules unclear, check with your state board Physician, PA or APRN Tex. Bus. Orgs. Code 301.012 (opens in a new tab) Texas Medical Board FAQ 312: Med Spa services (opens in a new tab) 2026-11-06 Utah Not settled by the cited source, check with your state board Not settled by the cited source Physician, PA or APRN Utah Code 58-1-506 (opens in a new tab) 2026-11-06 Vermont Verifying Verifying Verifying Verifying Verifying
Med spa ownership by state, part 4 of 4: Virginia to Wyoming State Who can own CPOM Medical director Source Verified on Virginia Rules unclear, check with your state board Rules unclear, check with your state board Not settled by the cited source Va. Code 13.1-542.1 (opens in a new tab) 2026-11-06 Washington PAs. Not settled for physicians, NPs, RNs. Unclear for owners with no license: check with your state board Rules unclear, check with your state board Physician required Washington DOH (opens in a new tab) WAC 246-919-606 (opens in a new tab) 2026-11-06 West Virginia Verifying Verifying Verifying Verifying Verifying Wisconsin Physicians. Owners with no license: not settled. Unclear for NPs, PAs, RNs: check with your state board Not settled by the cited source Not settled by the cited source Wis. Stat. 180.1911(1) (opens in a new tab) 2026-11-06 Wyoming Verifying Verifying Verifying Verifying Verifying
This chart is a dated snapshot as of November 6, 2026; confirm with your state board.
How to read the chart Who can own What the cited official text says about who may own a med spa. CPOM Corporate practice of medicine: rules that limit who can own or control a business that provides medical care. Medical director What the cited official text says about medical director requirements. Not settled by the cited source The official text we found does not answer this question either way. Rules unclear, check with your state board The independent checks did not agree, so the cell flags uncertainty instead of giving an answer. Verifying We have not yet fetched an official source for this row, so it is left blank on purpose. Verified on The date the cited official text was fetched for this snapshot: November 6, 2026. How we built and checked the chart Rows with sources were built only from official text: state statutes, state board rules or guidance, and state attorney general opinions. We fetched that text from official government websites on November 6, 2026. Each sourced row links to its official source.
Each sourced row was derived from quoted official text, then checked independently by separate AI reviewers. Where the checks did not agree, the cell says "Rules unclear, check with your state board" instead of giving an answer.
If the cited text does not answer a question either way, the cell says "Not settled by the cited source". A row marked "Verifying" is left blank because we have not yet fetched an official source.
What else to check Ownership and scope of practice are separate questions. An ownership answer does not tell you who may perform a treatment. Facility or clinic licenses can also apply. Laws and board guidance change. Check the date and confirm with your state board. Next step
Plan your next step
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