| LCA CASE NUMBER | I-200-16047-168208 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/16/16 |
| DECISION DATE | 2/22/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/31/16 |
| EMPLOYMENT END DATE | 7/30/19 |
| LCA CASE EMPLOYER NAME | CITIZENS MEMORIAL HOSPITAL DISTRICT |
| EMPLOYER ADDRESS | 1500 N. OAKLAND |
| EMPLOYER CITY | BOLIVAR |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65613 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 4173266000 |
| AGENT ATTORNEY NAME | NEWMAN, GEORGE |
| AGENT ATTORNEY CITY | ST. LOUIS |
| AGENT ATTORNEY STATE | MO |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 621111 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 113,173.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 160,000.00 |
| LCA CASE WAGE RATE TO | 250,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | BOLIVAR |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65613 |
