| LCA CASE NUMBER | I-200-20175-674926 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-23 |
| DECISION DATE | 2020-06-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-07-06 |
| END DATE | 2023-07-05 |
| 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 | Krishna M Gopisetty D.D.S, M.S., PC |
| TRADE NAME DBA | Wicker Park Dental Group |
| EMPLOYER ADDRESS1 | 1738 W North Ave. |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60622 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17732765566 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Gopisetty |
| EMPLOYER POC FIRST NAME | Krishna |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 1738 W North Ave. |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60622 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17732765566 |
| EMPLOYER POC EMAIL | drkrisg@gmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Feldman |
| AGENT ATTORNEY FIRST NAME | Jason |
| AGENT ATTORNEY MIDDLE NAME | Eric |
| AGENT ATTORNEY ADDRESS1 | 2221 Camino del Rio S |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16192999600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jason@feldmanfeldman.com |
| LAWFIRM NAME BUSINESS NAME | Feldman Feldman & Associates |
|
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1738 W North Ave. |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60622 |
| LCA CASE WAGE RATE FROM | 41.78 |
| LCA CASE WAGE RATE TO | 101.74 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 41.78 |
| 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 and Employment |
