| LCA CASE NUMBER | I-200-16258-960009 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 9/22/16 |
| DECISION DATE | 9/28/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/23/17 |
| EMPLOYMENT END DATE | 1/22/20 |
| LCA CASE EMPLOYER NAME | BELLIN MEMORIAL HOSPITAL, INC. |
| EMPLOYER ADDRESS | 744 S. WEBSTER AVE |
| EMPLOYER CITY | GREEN BAY |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9204457246 |
| AGENT ATTORNEY NAME | BRUNER, BRIAN |
| AGENT ATTORNEY CITY | MINNETONKA |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | CHILD & ADOLESCENT PSYCHIATRIST |
| SOC CODE | 29-1066 |
| SOC NAME | PSYCHIATRISTS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 187,200.00 |
| 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 | 250,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | GREEN BAY |
| WORKSITE COUNTY | BROWN |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54301 |
