ALISA GERTRUD REKOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164777

License Status

ACTIVE

Business

Title

First Name

ALISA

Middle

GERTRUD

Last Name

REKOW

Business Name

ALISA GERTRUD REKOW MD

Original Issue Date

05/22/2023

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

SALT LAKE CITY

State

Zip

84124

Ever Disciplined

LastModifiedDate

05/22/2023