License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Shakuntala Modi	MD	Psychiatry	Verify Specialty Certification	1025Main street ,416 Mull center WHEELING, WV (Ohio)	KY, MO, VT, WV, VT

License History

License Type	License Number	Status	License Date	Expiration Date
PMD	11178	Expired	06/27/1977	6/30/2017
DRD	343	Expired	07/01/1989	06/30/2009

Education History

School	Date Completed	Nature of Training
Gajra Raja Medical College, Jiwaji University	07/01/1964	Medical or Podiatric School
Robinson Mem Hospital, Ravenna	06/30/1970	Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Reprimand or Censure	05/30/1996	Final Order
Yes	Reprimand or Censure	2/24/1997	Final Order

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/17/2026.