A recurrent authorization to operate shall be in a form approved by the commission and shall state in a clear and conspicuous manner at least the following information:

(1) The date of issuance, effective date, and term of the authorization to operate;

(2) The full and correct name and address of the institution authorized to operate;

(3) The authority for authorization to operate and the conditions thereof; and

(4) Any limitation of authorization to operate as deemed necessary by the commission.