| LCA CASE NUMBER | I-200-16068-872909 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/8/16 |
| DECISION DATE | 3/14/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/7/16 |
| EMPLOYMENT END DATE | 9/6/19 |
| LCA CASE EMPLOYER NAME | LAKEWOOD FAMILY DENTAL |
| EMPLOYER ADDRESS | 1407 N. VETERANS PARKWAY |
| EMPLOYER CITY | BLOOMINGTON |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61704 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 3096612999 |
| AGENT ATTORNEY NAME | LEGO, KELLIE |
| AGENT ATTORNEY CITY | COLUMBIA |
| AGENT ATTORNEY STATE | MD |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAIC CODE | 621210 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 96,470.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 180,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | BLOOMINGTON |
| WORKSITE COUNTY | MCLEAN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61704 |
