| LCA CASE NUMBER | I-200-16190-776687 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 7/8/16 |
| DECISION DATE | 7/14/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/1/16 |
| EMPLOYMENT END DATE | 7/31/19 |
| LCA CASE EMPLOYER NAME | KATHERINE SHAW BETHEA HOSPITAL |
| EMPLOYER ADDRESS | 403 E. FIRST STREET |
| EMPLOYER CITY | DIXON |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61021 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8152855508 |
| AGENT ATTORNEY NAME | SIMON, KELLY |
| AGENT ATTORNEY CITY | ST. LOUIS |
| AGENT ATTORNEY STATE | MO |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 6221 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 165,818.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 198,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | POLO |
| WORKSITE COUNTY | OGLE |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61064 |
