1. (a) The person to whom a pharmacy intern registration has been issued shall notify the board within 15 days if a change of one or more of the following occur:

   1. (1) Name;
   2. (2) Address;
   3. (3) Transfer of enrollment from accredited college or university pharmacy program to another; or
   4. (4) Permanent separation of enrollment from his or her accredited pharmacy program, not to include graduation.

2. (b) The notice shall contain the following:

   1. (1) Name of the registrant;
   2. (2) Address of the registrant including old and new, if applicable;
   3. (3) Registrant’s registration number;
   4. (4) Name of the school of pharmacy attending, including former and current, if applicable;
   5. (5) Graduation date or anticipated date of graduation from accredited pharmacy program;
   6. (6) Certification status, if applicable; and
   7. (7) All new violations of law, convictions, fines, discipline or any registration, certification or license revocations for violation of pharmacy-related drug laws or regulations in this or any other state.

Source. #10721, eff 11-22-14; ss by #12670, eff 11-17-18