| LCA CASE NUMBER | I-200-20111-501224 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-04-20 |
| DECISION DATE | 2021-03-31 |
| ORIGINAL CERT DATE | 2020-04-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-06-01 |
| END DATE | 2023-05-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ThedaCare, Inc. |
| EMPLOYER ADDRESS1 | 3 Neenah Center |
| EMPLOYER ADDRESS2 | 101 N. Commercial Avenue |
| EMPLOYER CITY | Neenah |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54956 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19204544225 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Merson |
| EMPLOYER POC FIRST NAME | Megan |
| EMPLOYER POC MIDDLE NAME | Ann |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS 1 | 3 Neenah Center |
| EMPLOYER POC ADDRESS 2 | 101 N. Commercial Avenue |
| EMPLOYER POC CITY | Neenah |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54956 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19204544225 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Santa Maria |
| AGENT ATTORNEY FIRST NAME | Monica |
| AGENT ATTORNEY ADDRESS1 | 354 W. Main Street |
| AGENT ATTORNEY CITY | Madison |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16082573152 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Santa Maria Law Office, LLC |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Supreme Court of Wisconsin |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 County Rd. B |
| LCA CASE WORKLOC1 CITY | Shawano |
| WORKSITE COUNTY | SHAWANO |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54166 |
| LCA CASE WAGE RATE FROM | 350192 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 Business |
