| LCA CASE NUMBER | I-200-20125-538740 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-05-04 |
| DECISION DATE | 2020-09-21 |
| ORIGINAL CERT DATE | 2020-05-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist (Prosthodontist) |
| SOC CODE | 29-1024.00 |
| SOC TITLE | Prosthodontists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | Office 3, PLLC |
| TRADE NAME DBA | Willow Wood Dental |
| EMPLOYER ADDRESS1 | 31590 Schoolcraft Road |
| EMPLOYER CITY | Livonia |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48150 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12489311151 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Shaw |
| EMPLOYER POC FIRST NAME | Randall |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 31590 Schoolcraft Road |
| EMPLOYER POC CITY | Livonia |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48150 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12489311151 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | McCarroll |
| AGENT ATTORNEY FIRST NAME | Kate |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 500 Woodward Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Detroit |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13139651286.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Kerr, Russell & Weber, PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3526 West Saginaw Street |
| LCA CASE WORKLOC1 CITY | Lansing |
| WORKSITE COUNTY | INGHAM |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48917 |
| LCA CASE WAGE RATE FROM | 70.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 51.34 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
