Grace Tice

Physician assistant

Lehigh Acres, United States

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Full name

Grace Tice

Job Title

Physician Assistant

Location

Lehigh Acres, FL, USA

LIC ID

20691

Current License Expiration Date

31/01/2026

Original Date

23/09/2022

Professional Rank Code

Effective Date

23/09/2022

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

LEE

Practice Location Address Line 1

1641 Tamiami Trail, Suite 1

Practice Location Address City

PORT CHARLOTTE

Practice Location Address State

Practice Location Address Zipcode

33948

Prescribing Indicator

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