Laser treatments, intense pulsed light, injectables and ablative peels are cosmetic medical procedures: performed by a physician, delegated to a physician assistant or assigned to another licensed provider such as a nurse whose board allows it, after the training the rule requires. The physician does the first assessment, writes the treatment plan and generally supervises on site. Estheticians and cosmetologists may not receive delegation, and an unlicensed person who performs these procedures faces a fine of up to $50,000.
Checked Oct 21, 2026 against the agency’s page.
Step 4 of 6: Get the permits for your kind of business
1Set up the business
2Register for tax
3Approve the space
4Get the permits for your kind of business
5Alcohol permits
6Before the first hire
Issued by Maryland Board of Physicians (COMAR 10.32.09).
Sources and dates
COMAR 10.32.09 (delegation and assignment of cosmetic medical procedures and use of cosmetic medical devices); Health Occupations Article 14-606. Checked against the agency’s page on the date shown; cities add their own fees.
Questions about opening here.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
Yes. Laser treatments, intense pulsed light, injectables and ablative peels are cosmetic medical procedures: performed by a physician, delegated to a physician assistant or assigned to another licensed provider such as a nurse whose board allows it, after the training the rule requires.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
No. In Maryland it is listed for med spas.
Maryland Board of Physicians (COMAR 10.32.09).
Step 4 of 6, get the permits for your kind of business. The steps before it: set up the business, register for tax and approve the space.
Who needs a physician delegation of cosmetic medical in Maryland?
