| | Physician Last Name: | Travis, Jr |
| | Physician First Name: | Earle |
| | Physician Middle Name: | |
| | Address: | 4381 County Route 14
Madrid, New York 13660 |
| | License Number: | 178290 |
| | License Type: | DO |
| | Year of Birth: |
1958
|
| | Effective Date: | 04/03/2006 |
| | Action Description for DOH Webpage: | Nondisciplinary order of conditions taken pursuant to New York State Public Health Law Section 230.The physician agreed to not practice medicine until he successfully completes a clinical competency assessment or successfully completes a medical residency program,after which his practice will be monitored for three years. |
| | Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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