License holder summary

ANTOINETTE TYRA JOHNSON is a Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for ANTOINETTE TYRA JOHNSON is Philadelphia PA 19141. This licensed professional license is current. The license was granted 08/15/2014 and expired on 03/31/2017.

Pennsylvania

Department of State

ANTOINETTE TYRA JOHNSON
Expanded Function Dental Assistant
License number
DF004786
Date granted
08/15/2014
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Philadelphia PA 19141
palicensing.org
ID 29680954
LAST UPDATED 2024-01-01 21:53:34 UTC

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