License holder summary

TIV ASHANTI JOHNSON is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for TIV ASHANTI JOHNSON is *NO CITY PA 00000. This medical practitioner license is not current. The license was granted 05/12/1999 and expired on 06/21/2003.

Department of State

Board of Medicine

TIV ASHANTI JOHNSON
Graduate Medical Trainee
License number
MT043200T
Date granted
05/12/1999
Date expires
06/21/2003
Class
Graduate Medical Trainee
Status
Inactive
Address
*NO CITY PA 00000
medicinepa.com
ID 37540034
LAST UPDATED 2026-03-13 16:55:53 UTC

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