| LCA CASE NUMBER | I-200-20104-482100 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-04-13 |
| DECISION DATE | 2022-08-22 |
| ORIGINAL CERT DATE | 2020-04-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-05-01 |
| END DATE | 2023-04-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Lakeland Immediate Care Center |
| TRADE NAME DBA | Cassopolis Family Clinic Network |
| EMPLOYER ADDRESS1 | 261 M-62 |
| EMPLOYER CITY | Cassopolis |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49031 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12694453874 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Middleton |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC MIDDLE NAME | G. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 261 M-62 |
| EMPLOYER POC CITY | Cassopolis |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49031 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12694455244 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Im |
| AGENT ATTORNEY FIRST NAME | Susan |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 4117 Embassy Dr. SE |
| AGENT ATTORNEY CITY | Grand Rapids |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49546 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16166065297 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | ImLaw, PC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 261 M-62 |
| LCA CASE WORKLOC1 CITY | Cassopolis |
| WORKSITE COUNTY | CASS |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49031 |
| LCA CASE WAGE RATE FROM | 147290 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 141003 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
