| LCA CASE NUMBER | I-200-21082-165974 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-22 |
| DECISION DATE | 2022-08-22 |
| ORIGINAL CERT DATE | 2021-03-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Developmental Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Mose and Garrison Siskin Memorial Foundation, Inc. |
| TRADE NAME DBA | Siskin Children's Institute |
| EMPLOYER ADDRESS1 | 1101 Carter Street |
| EMPLOYER CITY | Chattanooga |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14236481700 |
| NAICS CODE | 624110 |
| EMPLOYER POC LAST NAME | Bullard |
| EMPLOYER POC FIRST NAME | Derek |
| EMPLOYER POC JOB TITLE | President and CEO |
| EMPLOYER POC ADDRESS1 | 1101 Carter Street |
| EMPLOYER POC CITY | Chattanooga |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14236481700 |
| EMPLOYER POC EMAIL | wendy.bennett@siskin.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Muresan |
| AGENT ATTORNEY FIRST NAME | Mihaela |
| AGENT ATTORNEY ADDRESS1 | 53 W. Jackson Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 809 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13125660301 |
| AGENT ATTORNEY EMAIL ADDRESS | mam@charleswintersteen.com |
| LAWFIRM NAME BUSINESS NAME | Charles H. Wintersteen, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | lllinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1101 Carter Street |
| LCA CASE WORKLOC1 CITY | Chattanooga |
| WORKSITE COUNTY | HAMILTON |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37402 |
| LCA CASE WAGE RATE FROM | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 187782 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
