License holder summary

Octavia Latisha Lewis is a Practical Nurse Temporary Permit licensed to practice in Pennsylvania. The address on file for Octavia Latisha Lewis is Charlotte NC 28212. This licensed professional license is not current. The license was granted 10/09/2014 and expired on 10/09/2015.

Pennsylvania

Department of State

Octavia Latisha Lewis
Practical Nurse Temporary Permit
License number
TLPN007940
Date granted
10/09/2014
Date expires
10/09/2015
Class
Practical Nurse Temporary Permit
Status
Expired
Address
Charlotte NC 28212
palicensing.org
ID 30072011
LAST UPDATED 2024-02-04 04:23:31 UTC

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