Protecting Your License and Career:
Board Investigations for Healthcare and Wellness Professionals

Facing a board investigation can feel overwhelming—and it can threaten your license, career, and business. Whether you are a nurse, physician, physician assistant, dentist, mental health provider, aesthetician, or med spa owner, protecting your professional license is critical.

At Lengea Law, we have successfully defended hundreds of providers across the country during investigations by medical boards, nursing boards, pharmacy boards, cosmetology boards, and even the FDA and Attorney General’s Office.

We understand the nuances of administrative, state, and federal law—and how to position your unique case for the best possible outcome.

Who We Help

We defend a wide range of healthcare and wellness professionals facing board investigations, including:

  • Registered Nurses (RNs)
  • Nurse Practitioners (NPs)
  • Physician Assistants (PAs)
  • Physicians (MDs and DOs)
  • Dentists
  • Licensed Aestheticians and Cosmetologists
  • Licensed Mental Health Providers
  • Unlicensed persons accused of practicing without a license

Whether the issue is clinical, administrative, or related to business operations, our team knows how to navigate the system to protect your future.

Protecting Your License and Career
An Investigator Can Show Up Unannounced

Yes, An Investigator Can Show Up Unannounced

When you think about a board investigation, you might picture a formal letter arriving by certified mail. But today, especially in states like New York, Texas, North Carolina, Florida, and California, it’s becoming increasingly common for investigators to show up unannounced—at your clinic, med spa, or even your home.
If this happens, stay calm.

An investigator may:

  • Ask to speak with you or your staff immediately
  • Request to see medical records, business licenses, or staff files
  • Pose questions designed to gather evidence—not to give advice
  • Ask to view how you store and dispose of medical supplies
  • Check expiration dates of products
  • Request evidence of your training for the procedures you offer

You are not required to answer questions on the spot and should avoid proactively providing any information.
You have the right—and it’s strongly recommended—to politely decline and say:
“I’m happy to cooperate. I would like my attorney to be present for any discussions. My legal counsel will follow up with you. Can you please give me your card?”
If this happens to you, call or text us immediately at (646) 396-0804.

Yes, An Investigator Can Pretend to Be a Client

These days, investigators are often pretending to be patients to gather information.
You may not even realize you’re under investigation when it happens. Investigators can:

  • Book an appointment by phone, email, or online
  • Attend a consultation pretending to be a new client
  • Ask detailed questions about supervision, prescriptions, or procedures
  • Record conversations, depending on state law

Their goal is to observe firsthand whether your business complies with:

  • Medical supervision and delegation laws
  • Scope of practice rules for RNs, NPs, PAs, and unlicensed staff
  • Prescribing and administration protocols (especially GLP-1s, peptides, and IV therapies)
  • Patient intake, consent, and documentation procedures
Investigator Can Pretend to Be a Client
Med spa requirement

Why This Matters

Anything you or your staff say—even casually—can be used as evidence against you.

Even innocent comments like:

  • “You don’t really need a doctor to be here.”
  • “We do weight loss shots without prescriptions—it’s all natural.”
  • “We don’t really document every visit.”

can lead to allegations of unlicensed practice, improper delegation, or gross negligence.

How to Protect Your Practice

  • Train all staff to follow proper intake, charting, and consent protocols — with each patient, every time.
  • Never cut corners on medical supervision, even for “simple” services like Botox or IV therapy.
  • Always assume that any caller or new client could be an investigator.
  • Review your marketing and website — promotional claims are often the first thing investigators examine.
How-to-Protect-Your-Practice
Common-Reasons-for-Board-Investigations-Lengealaw

Common Reasons for Board Investigations

We have successfully defended clients facing investigations involving:

  • Practicing without proper supervision or delegation
  • Operating outside the scope of their license
  • Misleading marketing content
  • Patient complaints or adverse events
  • Inadequate charting, consents, or documentation
  • Practicing medicine without a license (especially in med spa settings)

Real Client Stories

A physician-owner of a med spa was targeted by an undercover investigator pretending to be a Saturday walk-in Botox patient. The board alleged improper supervision. We demonstrated that appropriate good faith exams were performed, leading to no disciplinary action.

Dr. A

in Ohio

Mike faced an investigation after offering wellness consultations via telemedicine. We helped revise his protocols and successfully negotiated a confidential settlement with no license suspension.

Mike

PA in North Carolina

Jessica received a board complaint after a patient experienced minor swelling following an off-label vitamin infusion. We showed detailed patient consents and physician delegation were properly in place. The case was closed without formal discipline.

Jessica

RN Injector in New York

Sofia was accused of performing laser treatments without physician oversight. We proved she was operating under proper supervision protocols, and the board dismissed the complaint entirely.

Sofia

Licensed Aesthetician in Texas

What to Do If You’ve Been Contacted by a Licensing Board

If you receive a letter, call, or visit from a board investigator:

  • Stay calm
  • Politely decline to answer substantive questions
  • Request all communications go through your legal counsel
  • Contact Lengea Law immediately

Here’s how we can help:

  • Respond to board letters, subpoenas, or investigations
  • Draft formal written statements
  • Prepare you for interviews or hearings
  • Negotiate settlements, if necessary
  • Defend your license, career, and reputation in a timely manner
Telehealth-Consent-Form-Template
Why It’s Dangerous to Speak to an Investigator Without Counsel

Why It’s Dangerous to Speak to an Investigator Without Counsel

Investigators are trained to gather evidence—not to advise or help you.

Speaking without legal representation can lead to:

  • Unknowingly admitting to a violation
  • Waiving or weakening important defenses
  • Increasing the risk of formal disciplinary charges

Protect yourself. Let your lawyer do the talking.

Why Choose Lengea Law

At Lengea Law, we blend healthcare, regulatory, and business experience to create smart, strategic defenses. We understand what’s at stake—and we fight to protect what you’ve built.
You don’t have to go through this alone. We know the rules. We know the players. And we know how to get results.

FAQs

Can I handle a board investigation without a lawyer?

It’s highly risky. Even a well-meaning response can lead to severe consequences. Always have experienced legal counsel.

What happens if I ignore a board letter?

Ignoring a board inquiry can result in automatic disciplinary action, including license suspension or revocation.

How can Lengea Law help during an investigation?

We manage all communication with the board, prepare you for interviews, negotiate where possible, and aggressively defend your license.

Facing a Board Investigation? Talk to Us Today

Call or text us at (646) 396-0804

Protect your license. Protect your future. Let’s get to work.

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