| LCA CASE NUMBER | I-200-21161-387095 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-10 |
| DECISION DATE | 2021-06-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MANAGING 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 | AFFORDABLE DENTURES & IMPLANTS - CHAMPAIGN PC |
| EMPLOYER ADDRESS1 | 902 Meijer Dr. |
| EMPLOYER ADDRESS2 | SUITE 6 |
| EMPLOYER CITY | CHAMPAIGN |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61822 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12177076188 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | HENRY |
| EMPLOYER POC FIRST NAME | SALLIE |
| EMPLOYER POC JOB TITLE | DIRECTOR, CLINICAL RECRUITMENT |
| EMPLOYER POC ADDRESS 1 | 629 DAVIS DRIVE |
| EMPLOYER POC ADDRESS 2 | SUITE 300 |
| EMPLOYER POC CITY | MORRISVILLE |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27560 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13147795969 |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | KIHUMBA |
| AGENT ATTORNEY FIRST NAME | BARBARA |
| AGENT ATTORNEY MIDDLE NAME | W. |
| AGENT ATTORNEY ADDRESS1 | 100 N. CHERRY STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 300 |
| AGENT ATTORNEY CITY | WINSTON-SALEM |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27101-4016 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14042306755 |
| AGENT ATTORNEY EMAIL ADDRESS | BKIHUMBA@CONSTANGY.COM |
| LAWFIRM NAME BUSINESS NAME | CONSTANGY, BROOKS, SMITH & PROPHETE, LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF GEORGIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 902 Meijer Dr. |
| WORKSITE ADDRESS2 | SUITE 6 |
| LCA CASE WORKLOC1 CITY | CHAMPAIGN |
| WORKSITE COUNTY | CHAMPAIGN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61822 |
| LCA CASE WAGE RATE FROM | 105331 |
| LCA CASE WAGE RATE TO | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 105331 |
| 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 |
| PREPARER LAST NAME | WILLIAMS |
| PREPARER FIRST NAME | MARIE |
| PREPARER BUSINESS NAME | Constangy, Brooks, Smith & Prophete, LLP |
| PREPARER EMAIL | mwilliams@constangy.com |