| LCA CASE NUMBER | I-200-21125-290142 |
| STATUS | Denied |
| LCA CASE SUBMIT | 2021-05-05 |
| DECISION DATE | 2021-05-07 |
| 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 | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MUZAFFAR MIRZA DDS LLC |
| TRADE NAME DBA | TAYLOR DENTAL CENTER |
| EMPLOYER ADDRESS1 | 4501 S. STATE ST. |
| EMPLOYER CITY | CHICAGO |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60609 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17735480600 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | MIRZA |
| EMPLOYER POC FIRST NAME | MUZAFFAR |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS 1 | 4501 S. STATE STREET |
| EMPLOYER POC CITY | CHICAGO |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60609 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17735480600 |
| EMPLOYER POC EMAIL | M.MIRZA@MIRZADENTAL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SHAH-KHAN |
| AGENT ATTORNEY FIRST NAME | MAZHER |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 597315 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60659 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17735836300 |
| AGENT ATTORNEY EMAIL ADDRESS | MAZHERSK@MSN.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF MAZHER M SHAH-KHAN |
| STATE OF HIGHEST COURT | IL |
|
| NAME OF HIGHEST STATE COURT | ILLINOIS SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4501 S. STATE ST. |
| LCA CASE WORKLOC1 CITY | CHICAGO |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60609 |
| LCA CASE WAGE RATE FROM | 184392 |
| LCA CASE WAGE RATE TO | 184400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 184392 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2021 |
| PW SURVEY PUBLISHER | OFLC ONLINE DATA CENTER |
| PW SURVEY NAME | FLCA DATA CENTER |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SHAH-KHAN |
| PREPARER FIRST NAME | MAZHER |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | LAW OFFICES OF MAZHER M SHAH-KHAN |
| PREPARER EMAIL | MAZHERSK@MSN.COM |
