| LCA CASE NUMBER | I-200-21139-325836 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-19 |
| DECISION DATE | 2021-05-26 |
| 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 | 2021-05-19 |
| END DATE | 2024-05-18 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Cornerstone Dental Clinic LLC |
| EMPLOYER ADDRESS1 | 1530 Lake Street |
| EMPLOYER CITY | Roselle |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60172 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16305290900 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Rehman |
| EMPLOYER POC FIRST NAME | Syed |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 1530 Lake Street |
| EMPLOYER POC CITY | Roselle |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60172 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16305290900 |
| EMPLOYER POC EMAIL | cornerstonecosmeticdentistry@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Saenz |
| AGENT ATTORNEY FIRST NAME | Roberto |
| AGENT ATTORNEY MIDDLE NAME | Genaro |
| 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 | 231 |
| AGENT ATTORNEY EMAIL ADDRESS | ICERT@BIZLEGALSERVICES.COM |
| LAWFIRM NAME BUSINESS NAME | INTERNATIONAL LEGAL AND BUSINESS SERVICES GROUP LLP |
|
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1530 Lake Street |
| LCA CASE WORKLOC1 CITY | Roselle |
| WORKSITE COUNTY | DUPAGE |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60172 |
| LCA CASE WAGE RATE FROM | 184392 |
| LCA CASE WAGE RATE TO | 184393 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 184392 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
