Fiscal Year

2020

Case Number

A-20008-04080

Case Status

Certified

Received Date

2020-02-06

Decision Date

2020-06-10

Refile

N

Original File Date

2020-01-01 08:29:42

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

LAKEWOOD FAMILY DENTAL P.C.

Employer Name Slug

lakewood-family-dental-pc

Employer Address 1

1407 N. VETERANS PKWY.

Employer Address 2

SUITE 12

Employer City

BLOOMINGTON

Employer City Slug

bloomington

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

61704

Employer Phone

3096612999

Employer Number of Employees

18

Employer Year Commenced Business

2012

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

SRINIVASULA KAKOLLU

Employer Contact Address 1

1407 N. VETERANS PKWY

Employer Contact Address 2

SUITE 12

Employer Contact City

BLOOMINGTON

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

61704

Employer Contact Phone

309-661-2999

Employer Contact Email

DRNIVAS2000@GMAIL.COM

Agent Attorney Name

KELLIE N LEGO

Agent Attorney Firm Name

MVP LAW GROUP, P.A.

Agent Attorney Phone

240-390-0600

Agent Attorney Address 1

10632 LITTLE PATUXENT PARKWAY, BUILDING 2000

Agent Attorney Address 2

SUITE 406

Agent Attorney City

COLUMBIA

Agent Attorney State/Province

MARYLAND

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

21044

Agent Attorney Email

KELLIE@MVPLG.COM

PW Track Number

P10019183014274

PW SOC Code

11-9081

PW SOC Title

MEDICAL AND HEALTH SERVICES MANAGERS

PW Skill Level

Level I

PW Wage

65811.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-10-18

PW Expiration Date

2020-06-30

Wage Offer From

65811.00

Wage Offer To

0.00

Average Salary

65811.00

Wage Unit of Pay

Year

Worksite Address 1

1407 N. VETERANS PKWY; SUITE 12

Worksite Address 2

AND VARIOUS OFFICE LOCATIONS ZIP CODES 46268, 46825, 46016, 46032, 46902, 47905

Worksite City

BLOOMINGTON

Worksite City Slug

bloomington

Worksite State

ILLINOIS

Worksite Postal Code

61704

Job Title

DENTAL SERVICE COORDINATOR

Job Title Slug

dental-service-coordinator

Minimum Education

Bachelor's

Major Field of Study

HEALTH ADMIN., HEALTH MGMT., OR RELATED

Required Training

N

Required Experience

Y

Required Experience Months

24

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

HEALTH MGMT. RELATED

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

24

Accept Alternative Job Title

HEALTH MGMT. PROFESSIONAL

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

ANY SUITABLE COMBINATION OF EDUC., TRAINING, OR EXP IS ACCEPTABLE.br TRAVEL WILL BE REQUIRED TO VISIT VARIOUS DENTAL OFFICES ZIP CODES 61704, 46268, 46825, 46016, 46032, 46902, 47905

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2019-11-27

SWA Job Order End Date

2020-01-02

Sunday Edition Newspaper

Y

First Newspaper Name

THE PANTAGRAPH

First Advertisement Start Date

2019-12-08

Second Newspaper Ad Name

THE PANTAGRAPH

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-12-15

Employer Website From Date

2019-12-02

Employer Website To Date

2019-12-16

Professional Organization Ad From Date

2020-01-01 08:29:42

Professional Organization Advertisement To Date

2020-01-01 08:29:42

Job Search Website From Date

2019-12-08

Job Search Website To Date

2019-12-21

Employee Referral Program From Date

2020-01-01 08:29:42

Employee Referral Program To Date

2020-01-01 08:29:42

Local Ethnic Paper From Date

2019-12-12

Local Ethnic Paper To Date

2019-12-12

Radio/TV Ad From Date

2020-01-01 08:29:42

Radio/TV Ad To Date

2020-01-01 08:29:42

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

BUSINESS ADMINISTRATION IN HOSPITAL ADMINISTRATION

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

ACHARYA NAGARJUNA UNIVERSITY

Foreign Worker Education Institution Address 1

NH16 NAGARJUNA NAGAR

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

GUNTUR

Foreign Worker Education Institution State/Province

ANDHRA PRADESH

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

522510

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

KELLIE N LEGO

Preparer Title

ATTORNEY

Preparer Email

KELLIE@MVPLG.COM

Employer Information Declaration Name

SRINIVASULA KAKOLLU

Employer Information Declaration Title

PRESIDENT