Tingkat Keketatan dan Peminatan Penerimaan Prodi Sp.1 Ilmu Kesehatan Masyarakat tahun 2012-2016
Tahun | Jumlah Peminat |
2011/2012 | 40 |
2012/2013 | 61 |
2013/2014 | 68 |
2014/2015 | 58 |
2015/2016 | 57 |
Jumlah Mahasiswa aktif pada periode Maret 2017 sebanyak 121 orang dengan prosentase jenis kelamin dan tingkatan sebagai berikut:
Profil kelulusan mahasiswa berdasarkan waktu ketepatan lulus periode tahun 2012-2016
DAFTAR PESERTA PROGRAM STUDI DOKTER SPESIALIS I ILMU KESEHATAN NAK TAHUN 2018
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No | Nama Lengkap (+title) | NIM | Sex | Tempat Lahir | Tgl lahir | Alumni S1 (FK) | Status | MKDU | Masuk PPDS |
1 | dr. Mohammad Thoufik Hidayat | 011081103 | L | Plaju | 01-Des-73 | FK UNS | Perorangan | 01-Jul-10 | 01-Jan-11 |
2 | dr. Yurie Muharmaris | 011181112 | L | Surabaya | 29-Sep-84 | FK UNAIR | Perorangan | 01-Jul-11 | 01-Jan-12 |
3 | dr. Harry Febryanto | 011181103 | L | Surabaya | 23-Feb-85 | FK UNAIR | Perorangan | 01-Jul-11 | 01-Jan-12 |
4 | dr. Riza Maulina | 011181104 | P | Surabaya | 23-Des-83 | FK UNAIR | Perorangan | 01-Jul-11 | 01-Jan-12 |
5 | dr. Dian Saraswati | 011181101 | P | Surabaya | 24-Apr-78 | FK UNBRA | Perorangan | 01-Jul-11 | 01-Jan-12 |
6 | dr. Wahyu Bagus Handoko | 011181121 | L | Sidoarjo | 04-Nov-82 | FK UNAIR | Depkes | 01-Jan-12 | 01-Jul-12 |
7 | dr. Hedi Mustiko | 011181114 | L | Lamongan | 22-Sep-83 | FK UNAIR | Perorangan | 01-Jan-12 | 01-Jul-12 |
8 | dr. Gina Noor Djalilah | 011181118 | P | Cianjur | 28-Jan-82 | FK UNAIR | Perorangan | 01-Jan-12 | 01-Jul-12 |
9 | dr. Taufiqurrachman Soekardi | 011181116 | L | Pamekasan | 06-Des-79 | FK UHT | Perorangan | 01-Jan-12 | 01-Jul-12 |
10 | dr. Mochammad Mustafa Kahmaruddin | 011181117 | L | Jakarta | 27-Feb-79 | FK UNBRA | Swasta | 01-Jan-12 | 01-Jul-12 |
11 | dr. Pramita Anindya Nugraheni | 011181115 | P | Surabaya | 20-Jan-83 | FK UHT | Perorangan | 01-Jan-12 | 01-Jul-12 |
12 | dr. I Dewa Ayu Agung Sridharaswari | 011218116309 | P | Denpasar | 06-Des-86 | FK UNAIR | Perorangan | 01-Jul-12 | 01-Jan-13 |
13 | dr. Ahmad Zakky Mashuri | 011218116308 | L | Sidoarjo | 15-Okt-79 | FK UNAIR | Perorangan | 01-Jul-12 | 01-Jan-13 |
14 | dr. Nur Nailul | 011218116303 | P | Ujung Pandang | 26-Des-82 | FK UNAIR | Pemprov | 01-Jul-12 | 01-Jan-13 |
15 | dr. Novi Rahayu Arianti | 011218116302 | P | Probolinggo | 05-Nov-79 | FK UNAIR | Depkes | 01-Jul-12 | 01-Jan-13 |
16 | dr. Dhini Karunia Benih Asmara | 011218116304 | P | Samarinda | 08-Nov-80 | FK UHT | Depkes | 01-Jul-12 | 01-Jan-13 |
17 | dr. Reny Widayanti | 011218116305 | P | Surabaya | 14-Sep-79 | FK UNAIR | TNI | 01-Jul-12 | 01-Jan-13 |
18 | dr. Deasy Fiasry | 011218116301 | P | Bengkulu | 22-Jul-79 | FK UHT | HANKAM | 01-Jul-12 | 01-Jan-13 |
19 | dr. Arda Pratama Putra Chafid | 011218116311 | L | Ende | 29-Apr-83 | FK UWK | Perorangan | 01-Jul-12 | 01-Jan-13 |
20 | dr. Zulfito Marendra | 011218116307 | L | Jakarta | 21-Jul-77 | FK UNBRA | Depkes | 01-Jul-12 | 01-Jan-13 |
21 | dr. Elizabeth Beatrice Jonathan | 011218116310 | P | Malang | 22-Okt-84 | FK UHT | Perorangan | 01-Jul-12 | 01-Jan-13 |
22 | dr. Maria Natalia Nababan | 011218116306 | P | Medan | 05-Des-82 | FK Methodist Ind.Medan | Perorangan | 01-Jul-12 | 01-Jan-13 |
23 | dr. Citra Ganesa Putri | 011228116303 | P | Jakarta | 11-Mei-86 | FK USAKTI | Perorangan | 01-Jan-13 | 01-Jul-13 |
24 | dr. Lusiana | 011228116302 | P | Malang | 01-Agu-78 | FK UNIBRAW | Perorangan | 01-Jan-13 | 01-Jul-13 |
25 | dr. Soraya Salle Pasulu | 011228116308 | P | Rautepao | 10-Apr-87 | FK UNUD | Depkes | 01-Jan-13 | 01-Jul-13 |
26 | dr. Senja Baiduri | 011228116309 | P | Seibamban | 14-Des-84 | FK USU | Depkes | 01-Jan-13 | 01-Jul-13 |
27 | dr. Nanda Hudawwarachmah | 011228116304 | P | Banda Aceh | 01-Jun-85 | FK UISU | Perorangan | 01-Jan-13 | 01-Jul-13 |
28 | dr. Anik Andris Setyaningrum | 011228116310 | P | Surabaya | 01-Mar-78 | FK UNAIR | Depkes | 01-Jan-13 | 01-Jul-13 |
29 | dr. Naomi Helena Paulus | 011228116306 | P | Denpasar | 15-Des-78 | FK UNDIP | Perorangan | 01-Jan-13 | 01-Jul-13 |
30 | dr. Imella Marcos | 011228116307 | P | Surabaya | 21-Nov-83 | FK UHT | Depkes | 01-Jan-13 | 01-Jul-13 |
31 | dr. Laksmi Puspita Yuniasari | 011228116301 | P | Denpasar | 01-Jun-84 | FK UHT | Perorangan | 01-Jan-13 | 01-Jul-13 |
32 | dr. Agus Sunandar | 011228116305 | L | Gresik | 18-Mei-78 | FK UHT | Depkes | 01-Jan-13 | 01-Jul-13 |
33 | dr. Sri Astuti Eviningrum | 011228116311 | P | Jakarta | 01-Mar-78 | FK Atma Jaya | Depkes | 01-Jan-13 | 01-Jul-13 |
34 | dr. Intani Dewi Syahti Fauzi | 011318116301 | P | Bogor | 07-Des-86 | FK USAKTI | Perorangan | 01-Jul-13 | 01-Jan-14 |
35 | dr. Renyta Ika Damayanti | 011318116308 | P | Kediri | 16-Mar-84 | FK UNAIR | Depkes | 01-Jul-13 | 01-Jan-14 |
36 | dr. Rewina Intan Asmarani | 011318116306 | P | Mataram | 08-Sep-87 | FK UNAIR | Perorangan | 01-Jul-13 | 01-Jan-14 |
37 | dr. Trias Kusuma Sari | 011318116310 | P | Bekasi | 07-Sep-87 | FK UKI | Depkes | 01-Jul-13 | 01-Jan-14 |
38 | dr. Andri Kurnia Wahyudi | 011318116302 | L | Banyuwangi | 12-Okt-81 | FK UNAIR | Perorangan | 01-Jul-13 | 01-Jan-14 |
39 | dr. Febrina Pradita | 011318116304 | P | Surabaya | 20-Feb-88 | FK UNAIR | Perorangan | 01-Jul-13 | 01-Jan-14 |
40 | dr. Esthy Poespitaningtyas | 011318116305 | P | Surabaya | 31-Mei-81 | FK UNIBRAW | Depkes | 01-Jul-13 | 01-Jan-14 |
41 | dr. I Wayan Putra Artha Abra Wiratara | 011318116307 | L | Malang | 08-Apr-80 | FK UNHAS | Depkes | 01-Jul-13 | 01-Jan-14 |
42 | dr. Masayu Ramadhani Polanunu | 011318116311 | P | Ambon | 29-Jun-84 | FK UNAIR | Depkes | 01-Jul-13 | 01-Jan-14 |
43 | dr. Evisina Hanafiati Frans | 011318116303 | P | Surabaya | 28-Des-82 | FK UNAIR | Perorangan | 01-Jul-13 | 01-Jan-14 |
44 | dr. Berty Mitsu Yudhianty | 011318116309 | P | Jakarta | 16-Okt-82 | FK U 11 Mar | Depkes | 01-Jul-13 | 01-Jan-14 |
45 | dr. Shirley Ferlina Lasmono | 011328116301 | P | Surabaya | 24-Sep-87 | FK UNAIR | Perorangan | 01-Jan-14 | 01-Jul-14 |
46 | dr. Hapsari Widya Ningtiar | 011328116302 | P | Bogor | 21-Jan-84 | FK Univ. Yarsi | TNI | 01-Jan-14 | 01-Jul-14 |
47 | dr. Rizky Arisanti Maharani | 011328116303 | P | Surabaya | 30-Okt-87 | FK UHT | Perorangan | 01-Jan-14 | 01-Jul-14 |
48 | dr. Novi Dwi Anggraini | 011328116304 | P | Balikpapan | 02-Nov-85 | FK Univ. Mulawarman | Depkes | 01-Jan-14 | 01-Jul-14 |
49 | dr. Kartika Hardiyani | 011328116305 | P | Jakarta | 06-Jun-86 | FK UKI | Perorangan | 01-Jan-14 | 01-Jul-14 |
50 | dr. Sugi Deny Pranoto Soegianto | 011328116306 | L | Surabaya | 26-Sep-87 | FK UNAIR | Depkes | 01-Jan-14 | 01-Jul-14 |
51 | dr. Lasmauli Situmorang | 011328116307 | P | Fakfak | 27-Jan-82 | FK UNDIP | Depkes | 01-Jan-14 | 01-Jul-14 |
52 | dr. Indah Ratna Sari | 011328116308 | P | Surabaya | 25-Mei-83 | FK UNAIR | Depkes | 01-Jan-14 | 01-Jul-14 |
53 | dr. Agus Budiarto | 011328116309 | L | Kediri | 17-Agu-85 | FK UNAIR | Perorangan | 01-Jan-14 | 01-Jul-14 |
54 | dr. Tutwuri Handayani | 011328116310 | P | Surabaya | 01-Sep-82 | FK UNAIR | Perorangan | 01-Jan-14 | 01-Jul-14 |
55 | dr. Eko Wahyudi | 011328116311 | L | Kediri | 12-Mar-82 | FK UNAIR | Depkes | 01-Jan-14 | 01-Jul-14 |
56 | dr. Dina Aristiya Sumarno | 011418116301 | P | Tarakan | 06-Okt-83 | FK UII Yogya | Pemkab | 01-Jul-14 | 01-Jan-15 |
57 | dr. Dinda Anes Tunjungsari | 011418116302 | P | Surabaya | 01-Jul-88 | FK UNAIR | Perorangan | 01-Jul-14 | 01-Jan-15 |
58 | dr. Emma Ratna Fury | 011418116303 | P | Kediri | 21-Mei-85 | FK UNAIR | Perorangan | 01-Jul-14 | 01-Jan-15 |
59 | dr. Putri Wulan Sukmawati | 011418116304 | P | Malang | 01-Jun-87 | FK UMM | Perorangan | 01-Jul-14 | 01-Jan-15 |
60 | dr. Dewi Rahmawati | 011418116305 | P | Kediri | 08-Mar-84 | FK UNBRA | Pemkab | 01-Jul-14 | 01-Jan-15 |
61 | dr. Resty Varia Tutupoho | 011418116306 | P | Surabaya | 26-Jul-85 | FK UNEJ | Pemkab | 01-Jul-14 | 01-Jan-15 |
62 | dr. Dyah Wikanesthi | 011418116307 | P | Surabaya | 09-Nov-88 | FK UNAIR | Perorangan | 01-Jul-14 | 01-Jan-15 |
63 | dr. Rizka Yulianti | 011418116308 | P | Selong | 11-Agu-86 | FK UNHAS | Perorangan | 01-Jul-14 | 01-Jan-15 |
64 | dr. Umamah | 011418116309 | P | Jember | 20-Feb-82 | FK UNAIR | Perorangan | 01-Jul-14 | 01-Jan-15 |
65 | dr. Desy Nurrosalia Wisnuwardani | 011418116310 | P | Malang | 02-Des-82 | FK UHT | Perorangan | 01-Jul-14 | 01-Jan-15 |
66 | dr. Mardiyan Aprianto | 011418116311 | L | Pontianak | 22-Apr-86 | FK YARSI | Perorangan | 01-Jul-14 | 01-Jan-15 |
67 | dr. Chasan Ismail | 011428116301 | L | Sidoarjo | 22-Agu-85 | FK UHT | Pemkab | 01-Jan-15 | 01-Jul-15 |
68 | dr. Andi Rahadian Prajitno | 011428116302 | L | Surabaya | 24-Okt-86 | FK UNAIR | Perorangan | 01-Jan-15 | 01-Jul-15 |
69 | dr. Aini Ariefa | 011428116303 | P | Samarinda | 12-Jan-88 | FK UNLAM | Perorangan | 01-Jan-15 | 01-Jul-15 |
70 | dr. Rendi Aji Prihaningtyas | 011428116304 | P | Surabaya | 10-Des-88 | FK UGM | Perorangan | 01-Jan-15 | 01-Jul-15 |
71 | dr. Frans Maradona Pasaribu | 011428116305 | L | Rantauprapat | 13-Mar-81 | FK USU | Pemkab | 01-Jan-15 | 01-Jul-15 |
72 | dr. Bangkit Putrawan | 011428116306 | L | Ujung Pandang | 20-Mei-82 | FK UNBRA | Pemkab | 01-Jan-15 | 01-Jul-15 |
73 | dr. Rika Hapsari | 011428116307 | P | Lampung | 01-Okt-88 | FK UNAIR | Perorangan | 01-Jan-15 | 01-Jul-15 |
74 | dr. Ratih Dwi Andini | 011428116308 | P | Samarinda | 04-Apr-84 | FK UMM | Depkes | 01-Jan-15 | 01-Jul-15 |
75 | dr. Khadijah Rizky Sumitro | 011428116309 | P | Ngawi | 07-Agu-90 | FK UNAIR | Pemkab | 01-Jan-15 | 01-Jul-15 |
76 | dr. Loysa Ladydi | 011428116310 | P | Jakarta | 27-Jul-81 | FK UKI | TNI | 01-Jan-15 | 01-Jul-15 |
77 | dr. Nengcy Erlina Tasik Rerung | 011428116311 | P | Sentani | 04-Feb-84 | FK UPN Veteran JKT | Pemkab | 01-Jan-15 | 01-Jul-15 |
78 | dr. Imanuel Far-Far | 011518116307 | L | Ambon | 17-Nov-86 | FK UKI | Depkes | 01-Jul-15 | 01-Jan-16 |
79 | dr. Dwi Lestari Avianti | 011518116304 | P | Surabaya | 05-Jun-83 | FK UHT Surabaya | TNI | 01-Jul-15 | 01-Jan-16 |
80 | dr. Miriawati | 011518116308 | P | Pontianak | 28-Okt-81 | FK UK Krida Wacana | Depkes | 01-Jul-15 | 01-Jan-16 |
81 | dr. Chairunnisa | 011518116310 | P | Jakarta | 02-Okt-85 | FK UNAIR | Depkes | 01-Jul-15 | 01-Jan-16 |
82 | dr. Alexander Leonard Caesar Josediputra | 011518116302 | L | Surabaya | 27-Mei-89 | FK UNAIR | Perorangan | 01-Jul-15 | 01-Jan-16 |
83 | dr. Priscilla Putri Harmany | 011518116301 | P | Jakarta | 13-Apr-87 | FK UKI | Perorangan | 01-Jul-15 | 01-Jan-16 |
84 | dr. Kadek Ayu Atrie Swarita | 011518116305 | P | Jombang | 10-Mar-88 | FK UNBRA | Perorangan | 01-Jul-15 | 01-Jan-16 |
85 | dr. Dian Yashifa | 011518116306 | P | Jambi | 11-Mei-89 | FK Unv. Andalas | Perorangan | 01-Jul-15 | 01-Jan-16 |
86 | dr. Yuli Astika | 011518116309 | P | Sampit | 07-Jul-84 | FK UNLAM | Depkes | 01-Jul-15 | 01-Jan-16 |
87 | dr. Iin Fatimah | 011518116303 | P | Tulung Agung | 04-Jul-85 | FK UNAIR | Perorangan | 01-Jul-15 | 01-Jan-16 |
88 | dr. Helen Wila Mangngi Talolena | 011518116311 | P | Fak-Fak | 29-Jul-84 | FK UNAIR | Depkes | 01-Jul-15 | 01-Jan-16 |
89 | dr. Carrina Nenggar Dewanti | 011528116301 | P | Makassar | 22-Jun-83 | FK UNHAS | Perorangan | 01-Jan-16 | 01-Jul-16 |
90 | dr. Adwina Nurlita Kusuma Wardhani | 011528116302 | P | Surakarta | 24-Jun-89 | FK UNAIR | Perorangan | 01-Jan-16 | 01-Jul-16 |
91 | dr. Siti Wahyu Windarti | 011528116303 | P | Sumenep | 11-Okt-88 | FK UNAIR | Perorangan | 01-Jan-16 | 01-Jul-16 |
92 | dr. Uuk Riuh Kusuma Wardana | 011528116304 | L | Bangkalan | 16-Mar-80 | FK UWK | Perorangan | 01-Jan-16 | 01-Jul-16 |
93 | dr. Maria Christine Florens Sandra | 011528116305 | P | Bandung | 20-Des-87 | FK UK Maranatha | Perorangan | 01-Jan-16 | 01-Jul-16 |
94 | dr. Indah Lestari | 011528116306 | P | Tanjung Selor | 03/06/1985 | FK Univ. Mulawarman | Perorangan | 01-Jan-16 | 01-Jul-16 |
95 | dr. Wurry Ayuningtyas | 011528116307 | P | Surabaya | 25-Jun-88 | FK UNAIR | Perorangan | 01-Jan-16 | 01-Jul-16 |
96 | dr. Candra Maulana | 011528116308 | L | Surabaya | 12-Des-84 | FK UNAIR | Perorangan | 01-Jan-16 | 01-Jul-16 |
97 | dr. Fitrih Rahmawati Sultoni | 011528116309 | P | Malang | 03-Jan-85 | FK UNAIR | Perorangan | 01-Jan-16 | 01-Jul-16 |
98 | dr. Anitha Marllyin Mairuhu | 011528116310 | P | Ambon | 18-Agu-88 | FK UKI | Depkes | 01-Jan-16 | 01-Jul-16 |
99 | dr. Dwi Retno Wulandari | 011528116311 | P | Surabaya | 01-Sep-79 | FK UNAIR | Perorangan | 01-Jan-16 | 01-Jul-16 |
100 | dr. Henry Wicaksono | 011618116301 | L | Surabaya | 18-Feb-88 | FK UNAIR | Perorangan | 01-Jul-16 | 01-Jan-17 |
101 | dr. Seta Widya Nugraha | 011618116302 | L | Purworejo | 29-Mar-86 | FK UWK | Perorangan | 01-Jul-16 | 01-Jan-17 |
102 | dr. Ike Wahyu Triastuti | 011618116303 | P | trenggalek | 21-Sep-88 | FK UNBRA | Perorangan | 01-Jul-16 | 01-Jan-17 |
103 | dr. Sylvia WIjaya | 011618116304 | P | Sumenep | 23-Mei-85 | FK UHT | Depkes | 01-Jul-16 | 01-Jan-17 |
104 | dr. Yesi Ermawati | 011618116305 | P | Jakarta Selatan | 07-Mar-89 | FK USAKTI | Perorangan | 01-Jul-16 | 01-Jan-17 |
105 | dr. Garindra Wicaksono | 011618116306 | L | Surabaya | 17-Nov-84 | FK UWK | Perorangan | 01-Jul-16 | 01-Jan-17 |
106 | dr. Sunny Mariana samosir | 011618116307 | P | Medan | 01-Mei-88 | FK UNAIR | Perorangan | 01-Jul-16 | 01-Jan-17 |
107 | dr. Eka Sri Handayani | 011618116308 | P | Medan | 26-Jun-85 | FK UNSYIAH | Perorangan | 01-Jul-16 | 01-Jan-17 |
108 | dr. Lutvia Hidayati | 011618116310 | P | Surabaya | 03-Jul-90 | FK UNAIR | Perorangan | 01-Jul-16 | 01-Jan-17 |
109 | dr. Dimarzsiana Dara Sjahruddin | 011618116311 | P | Ujung Pandang | 06-Des-89 | FK UKI | Perorangan | 01-Jul-16 | 01-Jan-17 |
110 | dr. Amelia Sholikhah | 011628116301 | P | Sidoarjo | 19-Feb-89 | FK UNAIR | Perorangan | 01-Jan-17 | 01-Jul-17 |
111 | dr. Raden Muhammad Zulfan Jauhari | 011628116302 | L | Pamekasan | 20-Agu-85 | FK UWK | Depkes | 01-Jan-17 | 01-Jul-17 |
112 | dr. Claudia Magdalena Felisia Kurube | 011628116303 | P | Sorong | 14-Mei-89 | FK UNHAS | Perorangan | 01-Jan-17 | 01-Jul-17 |
113 | dr. Lenardo Ferryanto M Samadhi | 011628116304 | L | Surabaya | 03-Feb-89 | FK UNAIR | Perorangan | 01-Jan-17 | 01-Jul-17 |
114 | dr. Rizka Arifani | 011628116305 | P | Jakarta | 02-Jan-90 | FK UNEJ | Perorangan | 01-Jan-17 | 01-Jul-17 |
115 | dr. Vininsia Merry Laura | 011628116306 | P | Jakarta | 08-Feb-90 | FK UKI | Depkes | 01-Jan-17 | 01-Jul-17 |
116 | dr. Rayi Kurnia Perwitasari | 011628116307 | P | Serabaya | 08-Jun-89 | FK UNBRA | Perorangan | 01-Jan-17 | 01-Jul-17 |
117 | dr. Fauziah Pratiwi | 011628116308 | P | Malang | 26-Okt-87 | FK UNBRA | Perorangan | 01-Jan-17 | 01-Jul-17 |
118 | dr. Mega Malynda | 011628116309 | P | Bangkalan | 27-Apr-89 | FK UWK | Perorangan | 01-Jan-17 | 01-Jul-17 |
119 | dr. Ni Made Indah Dwijayanti Atmaja | 011628116310 | P | Kupang | 02-Mei-87 | FK UWK | Perorangan | 01-Jan-17 | 01-Jul-17 |
120 | dr. Muhammad Shofi Rafsyanjani | 011628116311 | L | Surabaya | 25-Sep-87 | FK UNAIR | Perorangan | 01-Jan-17 | 01-Jul-17 |
121 | dr. Martini | 011628116312 | P | Jakarta | 01-Mar-81 | FK UK ATMAJAYA | Perorangan | 01-Jan-17 | 01-Jul-17 |
122 | dr. Dedy Setiawan | 011718116301 | L | Malang | 28-Des-81 | FK UB | Perorangan | 01-Jul-17 | 01-Jan-18 |
123 | dr. Rabiatul Adawiah | 011718116302 | P | Samarinda | 22-Okt-87 | FK Univ. Mulawarman | Perorangan | 01-Jul-17 | 01-Jan-18 |
124 | dr. Anak Agung Ngurah Krisna Putra | 011718116303 | L | Denpasar | 07-Sep-89 | FK UNSRAT | Perorangan | 01-Jul-17 | 01-Jan-18 |
125 | dr. Muqiemuddin Salim | 011718116304 | L | Makassar | 24-Des-81 | FK UNHAS | Depkes | 01-Jul-17 | 01-Jan-18 |
126 | dr. Nurul Ima Suciwiyati | 011718116305 | P | Sumenep | 22-Nov-83 | FK Univ. Yarsi | Depkes | 01-Jul-17 | 01-Jan-18 |
127 | dr. Aldila Pratiwi | 011718116306 | P | Surabaya | 16-Apr-90 | FK UB | Depkes | 01-Jul-17 | 01-Jan-18 |
128 | dr. Rivans Jackson | 011718116307 | L | Jakarta Barat | 28-Jun-84 | FK UNHAS | Perorangan | 01-Jul-17 | 01-Jan-18 |