XELENIA ERLYN DEPENA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144142

License Status

ACTIVE

Business

Title

First Name

XELENIA

Middle

ERLYN

Last Name

DEPENA

Business Name

XELENIA ERLYN DEPENA MD

Original Issue Date

08/21/2017

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

PARAMUS

State

Zip

07652

Ever Disciplined

LastModifiedDate

06/05/2023