| LCA CASE NUMBER | I-200-21273-617170 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-09-30 |
| DECISION DATE | 2021-11-10 |
| ORIGINAL CERT DATE | 2021-10-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Peditrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2024-10-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Froedtert Health, Inc. |
| EMPLOYER ADDRESS1 | 400 Woodland Prime |
| EMPLOYER ADDRESS2 | N74 W12501 Leathwood Ct. , Suite 300 |
| EMPLOYER CITY | Menomonee Falls |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53051-4490 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14147774803 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Wiesner |
| EMPLOYER POC FIRST NAME | Kara |
| EMPLOYER POC MIDDLE NAME | Lynn |
| EMPLOYER POC JOB TITLE | Director, Program and Administrative Support |
| EMPLOYER POC ADDRESS1 | 200 Woodland Prime, W126 N7338 Flint Drive |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Menomonee Falls |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53051 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14147774806 |
| EMPLOYER POC EMAIL | kara.wiesner@froedtert.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Brosnan |
| AGENT ATTORNEY FIRST NAME | Doris |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 411 E. Wisconsin Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 1000 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14142871405 |
| AGENT ATTORNEY EMAIL ADDRESS | Dbrosnan@vonbriesen.com |
| LAWFIRM NAME BUSINESS NAME | von Briesen and Roper, s.c. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1700 Paradise Dr. |
| LCA CASE WORKLOC1 CITY | West Bend |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53095 |
| LCA CASE WAGE RATE FROM | 79.83 |
| LCA CASE WAGE RATE TO | 111.54 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 79.83 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
