| LCA CASE NUMBER | I-200-19330-168471 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-11-26 |
| DECISION DATE | 2021-12-17 |
| ORIGINAL CERT DATE | 2019-12-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident, GME Internal Medicine |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-05-15 |
| END DATE | 2022-08-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mary Hitchcock Memorial Hospital |
| EMPLOYER ADDRESS1 | One Medical Center Drive |
| EMPLOYER CITY | Lebanon |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 03756 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16036530436 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kull |
| EMPLOYER POC FIRST NAME | Kathryn |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | Sr. Immigration Specialist |
| EMPLOYER POC ADDRESS1 | One Medical Center Drive |
| EMPLOYER POC CITY | Lebanon |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 03756 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16036530436 |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Novak |
| AGENT ATTORNEY FIRST NAME | Francis |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1600 Bausch & Lomb Place |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15852311406 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Harter Secrest & Emery LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | One Medical Center Drive |
| LCA CASE WORKLOC1 CITY | Lebanon |
| WORKSITE COUNTY | LEBANON CITY |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 03756 |
| LCA CASE WAGE RATE FROM | 33634 |
| LCA CASE WAGE RATE TO | 63634 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 33634 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER BUSINESS NAME | Not applicable |
