| LCA CASE NUMBER | I-200-21334-733746 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-11-30 |
| DECISION DATE | 2022-11-03 |
| ORIGINAL CERT DATE | 2021-12-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-12-16 |
| END DATE | 2024-12-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | HAMILTON RIVERSIDE DENTISTRY, LLC. |
| EMPLOYER ADDRESS1 | 112 North Second Street |
| EMPLOYER CITY | HAMILTON |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45011 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15138680200 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | KEJRIWAL |
| EMPLOYER POC FIRST NAME | MANJU |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 112 NORTH SECOND STREET |
| EMPLOYER POC CITY | HAMILTON |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45011 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15138680200 |
| EMPLOYER POC EMAIL | MYCINCINNATISMILES@GMAIL.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 | 112 NORTH SECOND STREET |
| LCA CASE WORKLOC1 CITY | HAMILTON |
| WORKSITE COUNTY | BUTLER |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45011 |
| LCA CASE WAGE RATE FROM | 90 |
| LCA CASE WAGE RATE TO | 92 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 81.31 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B 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 |
