ANNE E FAIRFIELD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002557

License Status

ACTIVE

Business

First Name

ANNE

Middle

Last Name

FAIRFIELD

Business Name

ANNE E FAIRFIELD

Original Issue Date

09/06/2005

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

01/20/2026