State rankings
Botox Laws by State
Botox Laws by State: compare 50 US states on 3 metrics.
HealthLaw50 states · 3 metricsUpdated Nov 18, 2025Original page
29 sources
- Who Can Legally Perform Injectable Neuromodulators and Fillers: A State-by-State Guide - Nexttexh
- Can a Nurse Administer Botox in Illinois? - 1818 Lawyer & Lobbyist
- Aesthetic Courses and Workshops - Aesthetic Educations Medical Workshops
- Georgia State Board Approved Botox Course - American Academy of Facial Elites
- Can RNs Inject Botox in Florida? The Nursing Board Says... It's Complicated - American Med Spa Association
- Proposed Rules and Regulations with the Arkansas Legislative Council - Ark Leg State
- N.M. Code R. § 16.5.14.8 - Cornell Law School
- Provision of Botox solely for cosmetic purposes is outside the scope of dental practice in California - CDA Org
- Case No. 1977 - Commonwealth of Kentucky Board of Medical Licensure
- Botox & Filler Injector Qualifications in Arizona - DHH Medspa
- Medical Spa FAQs and What to Look for in a Medical Spa - Elite Medical & Aesthetics
- Who Can Administer Botox in Maryland? - Eternal Dermatolgy + Aesthetics
- Idaho Medical Spa State Regulations - Face Med Store
- A Guide to Med Spa Regulations by State - Face Med Store
- Tennessee Medical Spa Regulations - Face Med Store
- Role of the Licensed Nurse in the Practice of Aesthetics - Healthy Arkansas
- FAQ - Audrey Rose
- Michigan Medical Spas: Is the Wild West No More? - JD Supra
- Scope of Practice - Louisiana State Board of Practical Nurse Examiners
- Online Services: Board of Medicine - Medical Board Iowa
- Choosing the Right Botox Providers: Results, Safety, and Cost Concerns - Medium
- FAQ: Medispas - Miec
- Texas Botox Certification Requirements - National Laser Institute
- Botox Parties - Office of Legislative Research & Report
- Botox Cosmetic - Plastic Surgeons of Alaska
- Know Before You Go: Who Can Legally Inject Botox and Fillers? - Skin By Lovely
- Can a Nurse Administer Botox Injections without a Prescription in Minnesota? - Trepanier Law
- Botox in Rhode Island with Natural Results - Victory Medical Spa
- WAC 246-919-606 Nonsurgical medical cosmetic procedures - Washington State Legislature
Who Can Administer Botox
8 values across 50 entries
Data
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50 states
 Alabama | Licensed Physicians | No additional qualifications required beyond a professional license. | — |
 Alaska | Medical Practitioners w/ Supervision | Other medical professionals need aesthetic training. | Aesthetic nurses, or nurse injectors, administer BOTOX and cosmetic filler injections to their patients, with physician supervision. |
 Arizona | Licensed Physicians & Professionals with supervision | No additional qualifications required beyond a professional license. | Registered Nurse may inject Botox as long as they have a medical director. As a Registered Nurse does not have authority to prescribe, they need a Nurse Practitioner or Doctor to prescribe the medication and oversee their treatment plan. Estheticians may not inject Botox. |
 Arkansas | Licensed Physicians | No additional qualifications required beyond a professional license. | Registered nurses (RNs) and nurse practitioners (NPs) may perform these injections if the procedure is part of a treatment plan prescribed by a physician. |
 California | Dentists/Oral Surgeons | Oral surgeons must hold an elective facial cosmetic surgery permit to perform these services. | Dentists licensed in California may not administer Botox or dermal fillers for purely cosmetic purposes unless they hold the specific elective permit and the treatment is part of a dental plan. |
 Colorado | Licensed Physicians & Professionals with supervision | No additional qualifications required beyond a professional license. | NPs, PAs, and licensed physicians can perform injectable neuromodulators and fillers in Colorado. Nurses and estheticians can as well, with physician supervision. |
 Connecticut | Licensed Medical Professionals | No additional qualifications, though someone must prove a procedure is within their medical scope of practice. | By law, cosmetic procedures, including botox administration, must be performed (1) in a medical spa or licensed health care facility and (2) by a Connecticut-licensed health care provider within his or her scope of practice. |
 Delaware | Nurses & Physicians | No additional qualifications required beyond a professional license. | It is within scope of practice for licensed nurses (RN and LPN) to perform cosmetic/aesthetic dermatological procedures as prescribed/ordered by a licensed physician, nurse practitioner, physician assistant, or other licensed health care practitioner with prescriptive authorit… |
 Florida | Medical Practitioners w/ Supervision | No additional qualifications required beyond a professional license. | NPs or PAs can perform injectable neuromodulators and fillers, under the supervision of a physician. |
 Georgia | Dentists/Oral Surgeons | No additional qualifications required beyond a professional license. | The American Academy of Facial Esthetics (AAFE) Level I course is the first board approved courses in injectable pharmacologics that will allow general dentists to perform Botulinum Toxin and dermal filler procedures in Georgia. |
 Hawaii | Licensed Physicians | No additional qualifications required beyond a professional license. | According to the Hawaii Board of Medical Examiners, both physicians and physician assistants can perform laser hair removal, intense pulse light treatments, Botox injections, chemical peels, and filler injections. |
 Idaho | Licensed Physicians | No additional qualifications required beyond a professional license. | Under Idaho law any doctor can do cosmetic services in his/her primary care practice; no specialized background in dermatology or plastic surgery is required. A PA can order and perform injections as long as it is in their practice agreement with a licensed physician. |
 Illinois | Nurses & Physicians | No additional qualifications required beyond a professional license. | RNs may administer Botox in Illinois as long as certain regulatory requirements are met. Any use of botox must be provided in accordance with Board of Medicine and Board of Nursing requirements. Because these are considered medical treatments, they require an initial good-fait… |
 Indiana | Licensed Physicians or NPs | There are no additional qualifications, though physicians or nurse practitioners must prove they have the necessary expertise and education before performing these procedures in Indiana. | — |
 Iowa | Licensed Physicians | No additional qualifications required beyond a professional license. | In Iowa, medical aesthetic services are generally provided in medical spas, overseen by medical directors. In this setting, medical directors may delegate provision of these services to non-physicians, under certain circumstances. |
 Kansas | Medical Practitioners w/ Supervision | No additional qualifications required beyond a professional license. | Only medical practitioners who hold an MD, DO, DDS, DMD, NP, and nurses under the supervision of a Licensed Physicians |
 Kentucky | Medical Practitioners w/ Supervision | Any licensed medical professional can perform injectable neuromodulators and fillers when under the supervision of a physician | Licensed estheticians may only administer BOTOX under a physician's "immediate supervision." |
 Louisiana | Nurses & Physicians | No additional qualifications required beyond a professional license. | LPNs, RNs, physicians, and NPs can perform procedures. Perform "head to toe" physical assessments. The administration of botox, for cosmetic purposes only, is within the scope of practice of licensed practical nurses in the state of Louisiana when certain conditions are met. |
 Maine | Multi-Prof Licensed | No additional qualifications required beyond a professional license. | Licensed Physicians, PAs or Nurses |
 Maryland | Licensed Physicians | Physicians must have additional training from a higher education institution in these procedures before performing them in Maryland. | Many cosmetic procedures, including Botox filler, are now recognized as a practice of medicine and can only be performed, in most cases, by a trained physician. That training must be approved by the American Medical Association. In addition, only licensed doctors and physician… |
 Massachusetts | Licensed Medical Professionals | No additional qualifications required beyond a professional license. | Licensed medical professionals can perform injectable neuromodulators and fillers. This includes LPNs, RNs, NPs, PAs, dentists, and physicians. |
 Michigan | Licensed Physicians & Professionals with supervision | There are no additional qualifications for licensed physicians in Michigan. Other professionals need to demonstrate the necessary education and expertise to perform these procedures. | — |
 Minnesota | Licensed Physicians | There are no additional qualifications for licensed physicians in Michigan. Other professionals need to demonstrate the necessary education and expertise to perform these procedures. | Botox is not an over-the-counter medication. It can only be ordered by a physician with a DEA license. |
 Mississippi | Medical Practitioners w/ Supervision | No additional qualifications required beyond a professional license. | Licensed physicians can perform injectable neuromodulators and fillers in Mississippi. RNs, NPs, PAs, and electrologists may as well, with the supervision of a licensed physician. |
 Missouri | Licensed Physicians | Medical practitioners who hold an MD, DO, DDS, DMD, NP | RNs can perform these services with physician supervision. |
 Montana | Licensed Physicians | There are no additional qualifications required, though Montana law states physicians must have the education and experience to perform these procedures. | — |
 Nebraska | Licensed Physicians | No additional qualifications required beyond a professional license. | — |
 Nevada | Multi-Prof Licensed | Dentists must go through additional training in Nevada. | Licensed physicians, dentists, podiatrists, PAs, NPs, and RNs |
 New Hampshire | Multi-Prof Licensed | No additional qualifications required beyond a professional license. | Licensed Physicians, NPs, RNs, and PAs |
 New Jersey | Licensed Physicians | No additional qualifications required beyond a professional license. | — |
 New Mexico | Multi-Prof Licensed | In New Mexico, qualified medical professionals must complete 16 hours of training specific to dermal fillers and injectable neuromodulators. | Licensed physicians, dentists, podiatrists, PAs, NPs, and RNs |
 New York | Licensed Medical Professionals | No additional qualifications required beyond a professional license. | It’s a must that all individuals performing the procedures should have an active state license and have completed training from a higher education institution. |
 North Carolina | Multi-Prof Licensed | No additional qualifications required beyond a professional license. | Licensed Physicians, NPs, RNs, and PAs |
 North Dakota | Licensed Physicians | No additional qualifications required beyond a professional license. | Cosmetic procedures like Botox, dermal fillers, and lasers should also only be done by a licensed physician. There are exemptions for injectables where a PA, NP, and RN can perform the treatment under physician supervision. |
 Ohio | Multi-Prof Licensed | No additional qualifications required beyond a professional license. | Licensed Physicians, dentists, tNPs, RNs, and PAs |
 Oklahoma | Licensed Physicians | No additional qualifications required beyond a professional license. | — |
 Oregon | Licensed Medical Professionals | No additional qualifications required beyond a professional license. | — |
 Pennsylvania | Licensed Medical Professionals | There are no additional qualifications required beyond an active license and medical training from a higher education institution in Pennsylvania. | — |
 Rhode Island | Multi-Prof Licensed | No additional qualifications required beyond a professional license. | Licensed physicians, dentists, podiatrists, PAs, NPs, and RNs |
 South Carolina | Licensed Physicians | Licensed physicians in South Carolina need to have continuing education credits in aesthetic procedures to perform these services. | — |
 South Dakota | Licensed Physicians & Professionals with supervision | No additional qualifications required beyond a professional license. | APRNs, PAs, and RNs can also perform these procedures, under the supervision of a licensed practitioner. |
 Tennessee | Licensed Medical Professionals | No additional qualifications required beyond a professional license. | Qualified healthcare or allied health professionals can perform injectable neuromodulators and fillers in Tennessee |
 Texas | Licensed Medical Professionals | No additional qualifications required beyond a professional license. | Some licensed professionals can only do so under physician supervision. |
 Utah | Licensed Physicians | No additional qualifications required beyond a professional license. | — |
 Vermont | Licensed Medical Professionals | In Vermont, a special license may be required for certain aesthetic procedures, and certain medical professionals may need aesthetics training before performing injectable neuromodulators or fillers. | — |
 Virginia | Licensed Physicians & Professionals with supervision | No additional qualifications required beyond a professional license. | Licensed Physicians & PAs |
 Washington | Licensed Physicians | In Washington, physicians must be trained in nonsurgical aesthetic procedures before performing injectable neuromodulators or fillers. | — |
 West Virginia | Licensed Physicians | Physicians need appropriate aesthetic training to perform these services in West Virginia, but there is no formal training or qualifications specified. | — |
 Wisconsin | Multi-Prof Licensed | No additional qualifications required beyond a professional license. | Licensed Physicians, PAs, and APRNs |
 Wyoming | Multi-Prof Licensed | No additional qualifications required beyond a professional license. | Licensed Physicians, PAs or Nurses |
Quick answers
- Where does this botox laws by state data come from?
- Rankodex compiles it from World Population Review and the primary sources it cites: Who Can Legally Perform Injectable Neuromodulators and Fillers: A State-by-State Guide - Nexttexh; Can a Nurse Administer Botox in Illinois? - 1818 Lawyer & Lobbyist; Aesthetic Courses and Workshops - Aesthetic Educations Medical Workshops; Georgia State Board Approved Botox Course - American Academy of Facial Elites.