| LCA CASE NUMBER | I-200-20246-801983 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2020-09-02 |
| DECISION DATE | 2020-09-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-09 |
| END DATE | 2023-09-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Marshfield Clinic |
| EMPLOYER ADDRESS1 | 1000 N. Oak Ave. |
| EMPLOYER CITY | Marshfield |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54449 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | WI |
| EMPLOYER PHONE | 17152217231 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Boero |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC MIDDLE NAME | S.H. |
| EMPLOYER POC JOB TITLE | Chief Legal Officer - SHP |
| EMPLOYER POC ADDRESS1 | 1515 North Saint Joseph Ave. |
| EMPLOYER POC CITY | Marshfield |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54449 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17152217231 |
| EMPLOYER POC EMAIL | boero.lisa@securityhealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Chenhalls |
| AGENT ATTORNEY FIRST NAME | Kelley |
| AGENT ATTORNEY MIDDLE NAME | Ann |
| AGENT ATTORNEY ADDRESS1 | 11270 W. Park Place, Suite 200 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53224 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | WI |
| AGENT ATTORNEY PHONE | 14148928298.0 |
| AGENT ATTORNEY EMAIL ADDRESS | kchenhalls@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 | N |
| WORKSITE ADDRESS1 | N6571 Lumberjack Guy Road |
| LCA CASE WORKLOC1 CITY | Black River Falls |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54615 |
| LCA CASE WAGE RATE FROM | 187698.56 |
| LCA CASE WAGE RATE TO | 280946.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 73528.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |