Theron Lee Shattuck
ActiveCalifornia license 95440544
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95440544
- Status
- Active (Current)
- First issued
- November 12, 2025
- Expires
- July 31, 2027
- License holder
- Theron Lee Shattuck
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
15762 SW Colyer Way
Portland, OR 97224-0936
Portland, OR 97224-0936