| LCA CASE NUMBER | I-200-21336-738965 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-02 |
| DECISION DATE | 2021-12-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Pharmacist |
| SOC CODE | 29-1051.00 |
| SOC TITLE | Pharmacists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-12-13 |
| END DATE | 2024-12-12 |
| 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 | Long Life Pharmacy LLC |
| EMPLOYER ADDRESS1 | 1672 S 9th Street |
| EMPLOYER ADDRESS2 | Unit D |
| EMPLOYER CITY | Milwaukee |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53204 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14143260888 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | Sarsour |
| EMPLOYER POC FIRST NAME | Moath |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 1672 S 9th St |
| EMPLOYER POC ADDRESS2 | Unit D |
| EMPLOYER POC CITY | Milwaukee |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53204 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14143260888 |
| EMPLOYER POC EMAIL | longlifepharmacy@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Nissen |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY MIDDLE NAME | Louise |
| AGENT ATTORNEY ADDRESS1 | 11270 W Park Place |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53224 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14148928303 |
| AGENT ATTORNEY EMAIL ADDRESS | jnissen@cnvisalaw.com |
| LAWFIRM NAME BUSINESS NAME | Chenhalls Nissen, S.C. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1672 S 9th Street |
| WORKSITE ADDRESS2 | Unit D |
| LCA CASE WORKLOC1 CITY | Milwaukee |
| WORKSITE COUNTY | MILWAUKEE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53204 |
| LCA CASE WAGE RATE FROM | 41.2 |
| LCA CASE WAGE RATE TO | 50.48 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 41.2 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
