| LCA CASE NUMBER | I-200-17136-233713 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/16/2017 |
| DECISION DATE | 5/22/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 5/23/2017 |
| EMPLOYMENT END DATE | 5/23/2020 |
| LCA CASE EMPLOYER NAME | SHADY OAK DENTAL |
| EMPLOYER ADDRESS | 208 N. WALNUT AVE. |
| EMPLOYER CITY | FORRESTON |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61030 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8156564060 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | CHUGH, NAVNEET |
| AGENT ATTORNEY CITY | CERRITOS |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | ASSOCIATE DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 38.79 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 50.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | FREEPORT |
| WORKSITE COUNTY | STEPHENSON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61032 |
