Indiana
Professional Licensing Agency
Jack Solway
Controlled Substance Registration - Physician
License number
01058510B
Date granted
01/08/2004
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Lakeside Surgery Center, 810 W. Chicago Ave, East Chicago IN 46312
indianalicensing.org
ID 5845333
LAST UPDATED 2026-05-17 16:05:01 UTC
LAST UPDATED 2026-05-17 16:05:01 UTC
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