\ H1B CASE NUMBER I-200-24094-852219



CASE NUNBER: I-200-24094-852219

LCA CASE NUMBERI-200-24094-852219
STATUSWithdrawn
LCA CASE SUBMIT2024-04-03
DECISION DATE2024-04-08
VISA CLASSH-1B
LCA CASE JOB TITLEAssociate Dentist
SOC CODE29-1021.00
SOC TITLEDentists, General
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2024-10-01
END DATE2027-09-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEMuzaffar Mirza DDS, LLC
TRADE NAME DBAMirza Dental
EMPLOYER ADDRESS14501 S. State Street
EMPLOYER CITYChicago
EMPLOYER STATEIL
EMPLOYER POSTAL CODE60609
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE16306437860
NAICS CODE621210
EMPLOYER POC LAST NAMEMuzaffar
EMPLOYER POC FIRST NAMEMirza
EMPLOYER POC JOB TITLECEO-Owner
EMPLOYER POC ADDRESS14501 S. State Street
EMPLOYER POC CITYChicago
EMPLOYER POC STATEIL
EMPLOYER POC POSTAL CODE60609
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE16306437860
EMPLOYER POC EMAILm.mirza@mirzadental.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEKempster
AGENT ATTORNEY FIRST NAMEAlec
AGENT ATTORNEY MIDDLE NAMEM
AGENT ATTORNEY ADDRESS1332 S Michigan Ave
AGENT ATTORNEY ADDRESS2Suite 1428
AGENT ATTORNEY CITYChicago
AGENT ATTORNEY STATEIL
AGENT ATTORNEY POSTAL CODE60604
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE13123419730
AGENT ATTORNEY EMAIL ADDRESSaleck@klc-ltd.com
LAWFIRM NAME BUSINESS NAMEKempster, Corcoran, Quiceno, and Lenz-Calvo, LTD
STATE OF HIGHEST COURTIL
NAME OF HIGHEST STATE COURTIllinois Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS14721 S. Kedzie Avenue
LCA CASE WORKLOC1 CITYChicago
WORKSITE COUNTYCOOK
LCA CASE WORKLOC1 STATEIL
WORKSITE POSTAL CODE60632
LCA CASE WAGE RATE FROM131543
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE64979
PW UNIT OF PAYYear
PW WAGE LEVELI
PW OES YEAR7/1/2023 - 6/30/2024
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business