License holder summary

TATIA FORD JOHNSON is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for TATIA FORD JOHNSON is Upper Marlboro MD 20772. This licensed professional license is current. The license was granted 04/02/1999 and expired on 12/31/2016.

Pennsylvania

Department of State

TATIA FORD JOHNSON
Medical Physician Assistant
License number
MA002916L
Date granted
04/02/1999
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Upper Marlboro MD 20772
palicensing.org
ID 16634798
LAST UPDATED 2024-04-18 21:21:13 UTC

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