(b) Within thirty days after a person known to be a pharmacist, pharmacy intern, or pharmacy technician licensed or otherwise lawfully practicing pharmacy in this state or applying to be so licensed is convicted of any crime under the laws of this state, or the laws of the United States which involves drugs in any way, including any controlled substance under state or federal law, the clerk of the court of record in which the conviction was entered shall forward to the board a certified true and correct abstract of record of the convicting court. The abstract shall include the name and address of such licensee, the nature of the offense committed and the final judgment and sentence of the court.
(c) Any person may report to the board relevant facts about the conduct of a licensee of the board which in the opinion of such person amounts to professional malpractice or professional incompetence.
(d) The board shall provide forms for filing reports pursuant to this section. Reports submitted in other forms shall be accepted by the board.