| LCA CASE NUMBER | I-200-21097-204781 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-07 |
| DECISION DATE | 2021-04-14 |
| 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 | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Two Rivers Dental, P.C. |
| EMPLOYER ADDRESS1 | 1196 W Boughton Road |
| EMPLOYER CITY | Bolingbrook |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60440 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16305965018 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Shafi |
| EMPLOYER POC FIRST NAME | Sohail |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS 1 | 1730 Park Street |
| EMPLOYER POC CITY | Naperville |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60563 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16305965018 |
| EMPLOYER POC EMAIL | shafi7117@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rab |
| AGENT ATTORNEY FIRST NAME | Cyrus |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 1658 N Milwaukee Avenue |
| AGENT ATTORNEY ADDRESS2 | STE 432 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60647 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13126125719 |
| AGENT ATTORNEY EMAIL ADDRESS | cyrus@rabkhan.com |
| LAWFIRM NAME BUSINESS NAME | Rab & Khan, LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1224 W Ogden Avenue |
| LCA CASE WORKLOC1 CITY | Naperville |
| WORKSITE COUNTY | DUPAGE |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60563 |
| LCA CASE WAGE RATE FROM | 101000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 100630 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
