| LCA CASE NUMBER | I-200-21021-025127 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-21 |
| DECISION DATE | 2021-01-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hematologist/Medical Oncologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-26 |
| END DATE | 2024-06-25 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Fond du Lac Regional Clinic, S.C. |
| EMPLOYER ADDRESS1 | 420 E. Division Street |
| EMPLOYER CITY | Fond du Lac |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54935 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19209268314 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Drees |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC MIDDLE NAME | Charles |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS 1 | 420 E. Division Street |
| EMPLOYER POC CITY | Fond du Lac |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54935 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19209268314 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chenhalls |
| AGENT ATTORNEY FIRST NAME | Kelley |
| AGENT ATTORNEY MIDDLE NAME | Ann |
| AGENT ATTORNEY ADDRESS1 | 11270 W. Park Place, Suite 200 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53224 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | WI |
| AGENT ATTORNEY PHONE | 14148928298 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Chenhalls Nissen, S.C. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Agnesian Cancer Center |
| WORKSITE ADDRESS1 | 480 East Division Street |
| LCA CASE WORKLOC1 CITY | Fond du Lac |
| WORKSITE COUNTY | FOND DU LAC |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54935 |
| LCA CASE WAGE RATE FROM | 551317 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
