N.D. Cent. Code § 43-17-26.1
A physician seeking to renew the physician's license who has failed to complete the renewal application within the time specified by the board must be assessed a fee up to three times the normal licensure fee, in addition to such other penalties as are authorized by law, if that physician is found to have been practicing medicine in this state after the physician's license expired. A physician who is not found to have been practicing medicine in this state may renew a license upon payment of the arrearage and meeting the other requirements of the board. However, a physician whose license lapsed more than three years before that physician petitioned the board for reinstatement must submit a new application for licensure, whether or not that physician has practiced medicine in this state since the physician's license was last current.
N.D.C.C. § 43-17-26.1