ANNE E FAIRFIELD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

ACTIVE

Business

First Name

ANNE

Middle

Last Name

FAIRFIELD

Business Name

ANNE E FAIRFIELD

Original Issue Date

09/22/2005

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026