| LCA CASE NUMBER | I-200-18038-021701 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/8/18 |
| DECISION DATE | 2/15/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/5/18 |
| EMPLOYMENT END DATE | 8/5/21 |
| LCA CASE EMPLOYER NAME | MIDWEST DENTAL OF ILLINOIS LLC |
| EMPLOYER BUSINESS DBA | MIDWEST DENTAL |
| EMPLOYER ADDRESS | 680 HEHLI WAY |
| EMPLOYER CITY | MONDOVI |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54755 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7153183445 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | OSTROM, CAROLINE |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 6212 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 110,802.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 110,802.00 |
| LCA CASE WAGE RATE TO | 140,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | CANTON |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61520 |
