MADDALENA FAIRCHILD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011960

License Status

ACTIVE

Business

First Name

MADDALENA

Last Name

FAIRCHILD

Business Name

MADDALENA FAIRCHILD

Original Issue Date

12/12/2025

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

TITUSVILLE

State

Zip

32796

Ever Disciplined

LastModifiedDate

12/12/2025