| LCA CASE NUMBER | I-200-21097-205457 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-04-07 |
| DECISION DATE | 2021-06-09 |
| ORIGINAL CERT 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 | VON WESTERNHAGEN DENTAL CORPORATION |
| TRADE NAME DBA | DBA CANAM DENTAL |
| EMPLOYER ADDRESS1 | 350 N CLARK STREET |
| EMPLOYER ADDRESS2 | SUITE 600 |
| EMPLOYER CITY | CHICAGO |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60654 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13122740308 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | PETERS |
| EMPLOYER POC FIRST NAME | MICHAEL |
| EMPLOYER POC JOB TITLE | CHIEF OPERATING PARTNER |
| EMPLOYER POC ADDRESS 1 | 350 N CLARK STREET |
| EMPLOYER POC ADDRESS 2 | SUITE 600 |
| EMPLOYER POC CITY | CHICAGO |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60654 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13122740308 |
| EMPLOYER POC EMAIL | MPETERS@KOSSERVICES.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BENDERSKY |
| AGENT ATTORNEY FIRST NAME | JORDAN |
| AGENT ATTORNEY ADDRESS1 | 350 N CLARK STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 600 |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60654 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13124649330 |
| AGENT ATTORNEY EMAIL ADDRESS | JBENDERSKY@HEBF.COM |
| LAWFIRM NAME BUSINESS NAME | HUSSAIN, BENDERSKY & LISTON L.L.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 821 ROSECRANS AVE |
| WORKSITE ADDRESS2 | PAD A |
| LCA CASE WORKLOC1 CITY | COMPTON |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90222 |
| LCA CASE WAGE RATE FROM | 83803 |
| LCA CASE WAGE RATE TO | 103803 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 83803 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER LAST NAME | BENDERSKY |
| PREPARER FIRST NAME | JORDAN |
| PREPARER BUSINESS NAME | HUSSAIN, BENDERSKY & LISTON LLC |
| PREPARER EMAIL | JBENDERSKY@HEBF.COM |
