North Carolina Code § 90-288

Misdemeanor.
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It is unlawful and constitutes a Class 1 misdemeanor for a person to do any of the following:
(1) Act or serve in the capacity as, or hold oneself out to be, a nursing home administrator, or use any title, sign, or other indication that the person is a nursing home administrator, unless the person is the holder of a valid license as a nursing home administrator, issued in accordance with the provisions of this Article.
(2) Violate any of the provisions of this Article.

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