MAGDALENA R MATIENZO

Business Entity
NOT RENEWED

Nursing Home Administrator

LICENSED NURSING HOME ADMINISTRATOR

044001259

NOT RENEWED

N

MAGDALENA R

MATIENZO

MAGDALENA R MATIENZO

03/07/1975

11/30/1997

CHICAGO

IL

60640

COOK

Y

05/27/2005

1996004890

Fine

10/09/1996

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