North Dakota Code § 43-17-31.1

Costs of prosecution - Disciplinary proceedings
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In any order or decision issued by the board in resolution of a disciplinary proceeding in 
which disciplinary action is imposed against a physician or physician assistant , the board may 
direct any physician or physician assistant to pay the board a sum not to exceed the reasonable 
and actual costs, including reasonable attorney's fees, incurred by the board and investigative 
panels of the board in the investigation and prosecution of the case. If applicable, the 
physician's or physician assistant's license may be suspended until the costs are paid to the 
board. A physician or physician assistant may challenge the reasonableness of any cost item in 
a hearing under chapter 28-32 before an administrative law judge. The administrative law judge 
may approve, deny, or modify any cost item, and the determination of the judge is final. The 
hearing must occur before the physician's license or physician assistant's license may be 
suspended for nonpayment.

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