XELENIA ERLYN DEPENA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023