MAGDALENA R MATIENZO - Nursing Home Administrator License in Illinois | # 044001259

MAGDALENA R MATIENZO

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001259

License Status

NOT RENEWED

Business

N

First Name

MAGDALENA R

Last Name

MATIENZO

Business Name

MAGDALENA R MATIENZO

Original Issue Date

03/07/1975

Expiration Date

11/30/1997

State

IL

Ever Disciplined

Y

LastModifiedDate

05/27/2005

Case Number

1996004890

Action

Probation

Discipline Start Date

10/09/1996

Discipline End Date

10/08/1998

Discipline Reason

Failed to submit sufficient proof of continuing education hours during a Department audit.