| LCA CASE NUMBER | I-200-21075-149919 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-16 |
| DECISION DATE | 2021-12-06 |
| ORIGINAL CERT DATE | 2021-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-05 |
| END DATE | 2024-04-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Henderson County Rural Health Center, Inc. |
| TRADE NAME DBA | Eagle View Community Health System |
| EMPLOYER ADDRESS1 | 1204 Highway 164 East |
| EMPLOYER CITY | Oquawka |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61469 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13098672202 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Courson |
| EMPLOYER POC FIRST NAME | Shannon |
| EMPLOYER POC JOB TITLE | Grants & HR Manager |
| EMPLOYER POC ADDRESS1 | 1204 Highway 164 East |
| EMPLOYER POC CITY | Oquawka |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61469 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13098672202 |
| EMPLOYER POC PHONE EXT | 219 |
| EMPLOYER POC EMAIL | Scourson@eagleviewhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sandler |
| AGENT ATTORNEY FIRST NAME | Bradley |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 7700 Forsyth |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | St. Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13147193006 |
|
| AGENT ATTORNEY EMAIL ADDRESS | brad.sandler@stinson.com |
| LAWFIRM NAME BUSINESS NAME | Stinson LLP |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 101 South Division |
| LCA CASE WORKLOC1 CITY | Stronghurst |
| WORKSITE COUNTY | HENDERSON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61480 |
| LCA CASE WAGE RATE FROM | 52.28 |
| LCA CASE WAGE RATE TO | 78 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 52.28 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
