| LCA CASE NUMBER | I-200-21110-242127 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-20 |
| DECISION DATE | 2021-04-27 |
| 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 | Perryville Dentist PC |
| EMPLOYER ADDRESS1 | 845 S PERRYVILLE RD |
| EMPLOYER ADDRESS2 | UNIT 127 |
| EMPLOYER CITY | ROCKFORD |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18472243846 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Patel |
| EMPLOYER POC FIRST NAME | Jabal |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 845 S PERRYVILLE RD |
| EMPLOYER POC ADDRESS 2 | UNIT 127 |
| EMPLOYER POC CITY | ROCKFORD |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18472243846 |
| EMPLOYER POC EMAIL | dmddds007@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Leuleseged |
| AGENT ATTORNEY FIRST NAME | Aiemero |
| AGENT ATTORNEY MIDDLE NAME | Sefiw |
| AGENT ATTORNEY ADDRESS1 | 802 E WOODFIELD ROAD |
| AGENT ATTORNEY ADDRESS2 | SUITE G 400 |
| AGENT ATTORNEY CITY | SCHAUMBURG |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60173 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18479951515 |
| AGENT ATTORNEY PHONE EXT | 230 |
| AGENT ATTORNEY EMAIL ADDRESS | ICERT@BIZLEGALSERVICES.COM |
| LAWFIRM NAME BUSINESS NAME | INTERNATIONAL LEGAL AND BUSINESS SERVICES GROUP LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 845 SOUTH PERRYVILLE RD |
| WORKSITE ADDRESS2 | UNIT 127 |
| LCA CASE WORKLOC1 CITY | ROCKFORD |
| WORKSITE COUNTY | WINNEBAGO |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61108 |
| LCA CASE WAGE RATE FROM | 165000 |
| LCA CASE WAGE RATE TO | 165010 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 164694 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
