1. Report in writing. A licensee or an applicant for licensure under this chapter shall notify the licensing board in writing within 10 days of a:
A. Change of name or address;
B. Criminal conviction;
C. Revocation, suspension or other disciplinary action taken in this or any other jurisdiction against any occupational or professional license held by the applicant or licensee; or
D. Material change in the conditions or qualifications set forth in the original application for licensure submitted to the licensing board.