Elite Aesthetics Guide

Iowa Scope of Practice

Who Can Legally Perform Neurotoxin injections (Botox / Dysport) in Iowa?

Injectable wrinkle relaxers.

Last reviewed June 2026

Esthetician (LE)

Not permitted

Master Esthetician

Not permitted

Medical Assistant (MA)

Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority.

Conditional

Registered Nurse (RN)

Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority.

Conditional

Nurse Practitioner (NP/APRN)

Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician.

Conditional

Physician Assistant (PA)

Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician.

Conditional

Physician (MD/DO)

Permitted for this license type.

Permitted

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Consumer information to help you vet providers — not medical or legal advice. Regulations change; confirm with the official state board.