Each application for an operator's or manager's massage establishment license or a massage technician license shall be upon a form provided by the Department of Permitting, Inspections, and Enforcement. Each such form shall contain the following information: The applicant's full name, residence address, and residence telephone number; The name and address of the massage establishment where the applicant is to be employed and the name of the owner of same; The names and addresses of any and all previous massage establishments where applicant has been employed as a massage technician; The criminal record, if any, other than misdemeanor traffic violations, of the applicant; Whether any license to perform as a massage technician has previously been denied the applicant or revoked and, if so, the circumstances of such denial or revocation; A complete set of the applicant's fingerprints which shall be taken by the Chief of Police or his designee; Written proof that the applicant is eighteen (18) years of age or older; Three (3) color photographs of the applicant, not greater than two inches square as determined by the Department of Permitting, Inspections, and Enforcement. One photograph shall be sealed on the license issued to a successful applicant. One photograph shall be retained in the files of the Department of Permitting, Inspections, and Enforcement and the other photograph shall be forwarded to the Police Department, which shall also maintain files for operator or manager license and applicants and licensees. Every applicant or holder of a massage technician's license shall submit with their license application a copy of or verification of a license or registration issued by the State Board of Chiropractic and Massage Therapy Examiners, pursuant to Subtitle 5A of Title 3 of the Health Occupation Article of the Annotated Code of Maryland. Every applicant or holder of a massage technician's license or massage establishment operator or manager's license shall be subject to a continuing duty to supply to the Director current information with respect to the items set forth in Subsection (a) of this Section, such report to be made within fourteen (14) days of learning of any change. Failure to report a change in that information after learning of it shall be grounds for revocation of the license.