| LCA CASE NUMBER | I-200-16084-684883 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/29/16 |
| DECISION DATE | 4/4/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/6/16 |
| EMPLOYMENT END DATE | 9/6/19 |
| LCA CASE EMPLOYER NAME | WELLSPAN MEDICAL GROUP |
| EMPLOYER ADDRESS | 1001 SOUTH GEORGE STREET |
| EMPLOYER CITY | YORK |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17403 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7178124487 |
| AGENT ATTORNEY NAME | RUIZ-STEELE, SILAS |
| AGENT ATTORNEY CITY | READING |
| AGENT ATTORNEY STATE | PA |
| LCA CASE JOB TITLE | DERMATOLOGIST |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 187,637.00 |
| 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 | 500,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | YORK |
| WORKSITE COUNTY | YORK |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17402 |
