| LCA CASE NUMBER | I-200-20128-552089 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-05-07 |
| DECISION DATE | 2020-06-19 |
| ORIGINAL CERT DATE | 2020-05-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN 3 |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-03 |
| END DATE | 2023-08-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | STATE OF WASHINGTON DEPARTMENT OF CORRECTIONS |
| EMPLOYER ADDRESS1 | 7345 LINDERSON WAY SW |
| EMPLOYER CITY | TUMWATER |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13607258443 |
| NAICS CODE | 922140 |
| EMPLOYER POC LAST NAME | VANDEL |
| EMPLOYER POC FIRST NAME | WENDY |
| EMPLOYER POC JOB TITLE | HEALTH SERVICES RECRUITER |
| EMPLOYER POC ADDRESS1 | 637 WOODLAND SQUARE LOOP SE |
| EMPLOYER POC ADDRESS2 | 4TH FLOOR |
| EMPLOYER POC CITY | LACEY |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98503 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13604075742 |
| EMPLOYER POC EMAIL | WENDY.VANDEL@DOC.WA.GOV |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | TILGER |
| AGENT ATTORNEY FIRST NAME | AMEE |
| AGENT ATTORNEY ADDRESS1 | 7141 CLEANWATER DRIVE SW |
| AGENT ATTORNEY CITY | OLYMPIA |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98504 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13606644167.0 |
| AGENT ATTORNEY EMAIL ADDRESS | LPDIMMIGRATION@ATG.WA.GOV |
| LAWFIRM NAME BUSINESS NAME | STATE OF WASHINGTON OFFICE OF THE ATTORNEY GENERAL |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 16774 170TH DRIVE SE |
| LCA CASE WORKLOC1 CITY | MONROE |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98272 |
| LCA CASE WAGE RATE FROM | 228852.0 |
| LCA CASE WAGE RATE TO | 234576.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 192213.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | KESSLER |
| PREPARER FIRST NAME | PAUL |
| PREPARER MIDDLE INITIAL | F |
| PREPARER BUSINESS NAME | STATE OF WASHINGTON OFFICE OF THE ATTORNEY GENERAL |
| PREPARER EMAIL | LPDIMMIGRATION@ATG.WA.GOV |
