| LCA CASE NUMBER | I-200-20147-598960 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-25 |
| DECISION DATE | 2020-06-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Oral Surgeon |
| SOC CODE | 29-1022.00 |
| SOC TITLE | Oral and Maxillofacial Surgeons |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-06-06 |
| END DATE | 2023-06-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Ikhlaq-Rosinski Dental partners DDS P.C. |
| EMPLOYER ADDRESS1 | 141 W Jackson Boulevard |
| EMPLOYER ADDRESS2 | Suite 210 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13128001270 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Pavlik |
| EMPLOYER POC FIRST NAME | Anna |
| EMPLOYER POC JOB TITLE | VP, Human Resources |
| EMPLOYER POC ADDRESS1 | 141 W. Jackson Boulevard |
| EMPLOYER POC ADDRESS2 | Suite 210 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18476873982 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Kallmeyer |
| AGENT ATTORNEY FIRST NAME | Maria |
| AGENT ATTORNEY ADDRESS1 | 411 East Wisconsin Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2400 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13127155009.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Quarles & Brady LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 12000 Bellefontaine Road |
| LCA CASE WORKLOC1 CITY | St. Louis |
| WORKSITE COUNTY | ST LOUIS |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 63138 |
| LCA CASE WAGE RATE FROM | 125.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| 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 |
| PREPARER LAST NAME | Kallmeyer |
| PREPARER FIRST NAME | Maria |
| PREPARER BUSINESS NAME | Quarles & Brady LLP |
| PREPARER EMAIL | [email protected] |
