DATA TENAGA KESEHATAN DI PUSKESMAS YANG BELUM MEMILIKI SURAT TANDA REGISTRASI

DAN TENAGA KESEHATAN DI PUSKESMAS DENGAN SURAT TANDA REGISTRASI HABIS MASA BERLAKU
TAHUN 2018

Status
Nama Tanggal Tanggal
No Nama Kepega No. Surat Tanda Registrasi (STR) Jenis Profesi No. Surat Ijin Praktik (SIP) Keterangan
Puskesmas Penerbitan STR penerbitan SIP
waian
1 SUKAPURA Ade Lina Dwi A, A.Md. Keb Non PNS P2T/7907/03.01/02/XII/2011 27/12/2011 06. BIDAN 446/5693/426.102/2013 04 - 11 - 2013 Habis masa berlaku
2 SUKAPURA Cicik Tri Handayani, A.Md. Kep PNS 16 01 521 12 - 0607165 04/06/2013 03. PERAWAT 446/005/SIPP/426.404/2015 09 - 07 - 2015 Habis masa berlaku
3 SUKAPURA Dheni Lestari, A.Md. Kep PNS 16 01 521 12 - 0607162 04/06/2013 03. PERAWAT 446/2033/426.102/2014 11 - 04 - 2014 Habis masa berlaku
4 SUKAPURA Ely Rahmawati, A.Md. Keb Non PNS P2T/8350/03.01/02/XII/2011 30/12/2011 06. BIDAN 446/1389/426.102/2014 25 - 03 - 2014 Habis masa berlaku
5 SUKAPURA Evi Dwi Setiyorini, A.Md. Keb PNS P2T/9018/03.01/02/XII/2012 26/12/2012 06. BIDAN 446/1391/426.102/2014 25 - 03 - 2014 Habis masa berlaku
6 SUKAPURA Husen, A.Md. Kep PNS 16 01 511 12 - 0607170 04/06/2013 03. PERAWAT 446/2503/426.102/2010 18 - 10 - 2010 Habis masa berlaku
7 SUKAPURA Luluk Nurchamida, A.Md. Keb Non PNS P2T/1374/03.01/02/II/2012 28/02/2012 06. BIDAN 446/1392/426.102/2014 25 - 03 - 2014 Habis masa berlaku
8 SUKAPURA Mistine Suhartina S, A.Md. Kep PNS 16 01 721 12 - 0606635 04/06/2013 03. PERAWAT 446/1485/426.102/2014 01 - 04 - 2014 Habis masa berlaku
9 SUKAPURA Muhammad Johan M. Amd Kep Non PNS 16 01 511 12 - 0607169 04/06/2013 03. PERAWAT 446/2031/426.102/2014 11 - 04 - 2014 Habis masa berlaku
10 SUKAPURA Riza Umami, A.Md. Keb Non PNS P2T/7674/03.01/01/XII/2011 21/12/2011 06. BIDAN 446/1395/426.102/2014 25 - 03 - 2014 Habis masa berlaku
11 SUKAPURA Rukmiasih, A.Md. Keb Non PNS P2T/1381/03.01/02/II/2012 28/02/2012 06. BIDAN 446/1394/426.102/2014 25 - 03 - 2014 Habis masa berlaku
12 SUKAPURA Siti Halimah, SST Non PNS P2T/1375/03.01/02/II/2012 28/02/2012 06. BIDAN 446/5692/426.102/2013 04 - 11 - 2013 Habis masa berlaku
13 SUKAPURA Sugeng Purnomo, S.Kep. Ns PNS 16 01 511 12 - 0607166 04/06/2013 03. PERAWAT 446/1599/426.102/2014 03 - 04 - 2014 Habis masa berlaku
14 SUMBER EKA RATNA NURILAWATI, Amd.Keb. PNS P2T/552/03.01/02/I/2012 17/01/2012 06. BIDAN 446/2322/426.102/2012 04/06/2012 Habis masa berlaku
15 SUMBER EKASUMA HELYANING PRATIWI, Amd.Keb PNS P2T/8304/03.01/02/XII/2014 14/09/2009 06. BIDAN 446/020/SIPB/426.404/2015 17/03/2015 Habis masa berlaku
16 SUMBER EMILIA MUDRIKA,S.Kep,Ns Non PNS 03. PERAWAT Tidak punya
17 SUMBER HARI PURNOMO HADI,Amd.Kep. PNS 03. PERAWAT Tidak punya
18 SUMBER NOVITA EKO P, Amd.Keb PNS P2T/7450/03.01/02/XII/2012 03/12/2012 06. BIDAN 446/5691/426.102/2013 04/11/2013 Habis masa berlaku
19 SUMBER NUGROHO Priyi W, Amd.Kep Non PNS 03. PERAWAT Tidak punya
20 SUMBER NUR LAILATUL FADILLA,Amd.Keb. PNS P2T/1200/03.01/02/II/2012 21/02/2012 06. BIDAN 446/001/SIKB/426.404/2015 05/01/2015 Habis masa berlaku
21 SUMBER NURUL LAIFA, Amd.Keb. PNS P2T/8547/03.01/XII/2012 19/12/2012 06. BIDAN - - Habis masa berlaku
22 SUMBER PURNOMO,Amd.Kep, Non PNS P2T/540/03.02/02/I/2012 12/01/2012 03. PERAWAT 446/004/SIPP/426.404/2016 04/01/2016 Habis masa berlaku
23 SUMBER SIGIT MARGONO PNS 10. KESLING Tidak punya
24 KURIPAN ISRONIA RISQA SANI, SST Non PNS 7138/VI/MTKP-JATIM/UK-B/DIII/I/2013 26/02/2013 06. BIDAN 446/136/SIKB/426.404/2016 05/06/2016 Habis masa berlaku
25 KURIPAN RESI WILIAM LEASTUTI, A.Md.Keb. PNS P2T/3998/03.01/02/II/2013 20/02/2013 06. BIDAN 446/5771/426.102/2013 06/11/2013 Habis masa berlaku
26 BANTARAN Wahyu Tri Utami, AMd Keb Non PNS 16 02521120598698 07/06/2013 06. BIDAN P2T/6454/03.01/01/XII/2011 12/08/2011 Habis masa berlaku
08. TEKNIS KEFARMASIAN
27 LECES Ani Rukiyah PNS P2T/4253/03.06/03/IV/2012 04/04/2012 446/014/SIKTTK/426.404.2016 21/07/2016 Habis masa berlaku
(FARMASI NON APOTEKER)
28 LECES Dira Ema Danistya,, Amd.Keb Non PNS P2T/4442/03.01/01/II/2013 26/02/2013 06. BIDAN 446/004/SIKB/426.404/2016 08/01/2016 Habis masa berlaku
29 LECES Ifa Tri Nuranggraini, Amd.Keb Non PNS P2T/4459/03.01/01/II/2013 26/02/2013 06. BIDAN 446/008/SIKB/426.404/2016 08/01/2016 Habis masa berlaku
30 LECES Junika ardiyanti, SST PNS P2T/5831/03.01/02/XII/2016 18/12/2013 06. BIDAN 446/164/SIKB/426.116/2017 21/12/2017 Habis masa berlaku
 Status
Nama Tanggal Tanggal
No Nama Kepega No. Surat Tanda Registrasi (STR) Jenis Profesi No. Surat Ijin Praktik (SIP) Keterangan
Puskesmas Penerbitan STR penerbitan SIP
waian
31 LECES Nurjannah, Amd.Keb PNS P2T/3374/03.02/01/III/2012 28/03/2012 03. PERAWAT Habis masa berlaku
32 LECES Okti Ratih Kumalasari, Amd.Keb PNS P2T/8974/03.01/02/XI/2013 12/11/2013 06. BIDAN 446/006/SIKB/426.404/2016 08/01/2016 Habis masa berlaku
33 LECES Siti Komaria, Amd. Keb Non PNS P2T/10072/03.01/01/XII/2013 01/12/2013 06. BIDAN 446/168/SIKB/426.116/2017 21/12/2017 Habis masa berlaku
34 LECES Umiati, SST PNS P2T/5868/03.01/01/IX/2011 18/12/2013 06. BIDAN 446/6698/426.102/2013 18/12/2013 Habis masa berlaku
35 TEGALSIWALANAji Tri Utomo, A.Md.Kep Non PNS Proses 03. PERAWAT Proses Habis masa berlaku
36 TEGALSIWALANDedy Krista Dinata, S.Kep.Ners Non PNS Belum punya 03. PERAWAT Belum punya Tidak punya
37 TEGALSIWALANDwi Jayanti Prawitasari, A.Md.Keb PNS Proses 06. BIDAN Proses Habis masa berlaku
38 TEGALSIWALANEka Jarmiati, A.Md.Keb PNS Proses 06. BIDAN 446/054/SIKB/426.404/2016 Habis masa berlaku
39 TEGALSIWALANFaridatul Mardiyah, A.Md.Keb Non PNS P2T/4988/03.01/01/III/2013 05/03/2013 06. BIDAN 446/053/SIKB/426.404/2016 04/03/2016 Habis masa berlaku
40 TEGALSIWALANKetut Sri Dyah Asriani, A.Md.Keb PNS Proses 03. PERAWAT 446/369/SIKP/426.116/2017 29/11/2017 Habis masa berlaku
41 TEGALSIWALANMoch. Bahri, S.Kep.Ners PNS Proses 03. PERAWAT Proses Habis masa berlaku
42 TEGALSIWALANNur Azizah Kurnia DH, A.Md.Keb PNS Proses 06. BIDAN 446/1883/426.102/2012 Habis masa berlaku
43 TEGALSIWALANRizky Amelia, A.Md.Kep Non PNS P2T/3180/03.02/01/II/2013 12/02/2013 03. PERAWAT 446/050/SIPP/426.116/2018 25/01/2018 Habis masa berlaku
44 TEGALSIWALANWieke Widiyarti, A.Md.Keb PNS P2T/9891/03.01/02/XII/2013 12/12/2013 06. BIDAN 446/046/SIKB/426.404/2016 24/02/2014 Habis masa berlaku
45 TEGALSIWALANWina Angraini, A.Md.Keb Non PNS P2T/4967/03.01/01/III/2013 01/03/2013 06. BIDAN Proses Habis masa berlaku
46 BANYUANYAR Amalia Safira, A.Md, Keb PNS P2T/4684/03.01/02/V/2012 14/05/2012 06. BIDAN Habis masa berlaku
47 BANYUANYAR Evriati Sujarwo, A.Md., Keb PNS P2T/11/29/03.01/02/I/2013 14/01/2013 06. BIDAN 446/5580/426.102/2013 31/10/2013 Habis masa berlaku
48 BANYUANYAR Sisca Widyaningtias, A.Md., Keb Non PNS P2T/5510/03.01/01/III/2013 19/03/2013 06. BIDAN Habis masa berlaku
49 BANYUANYAR Siti Maskhuriyah, S.ST PNS P2T/10074/03.01/02/XII/2013 16/12/2013 06. BIDAN 446/002/SIKB/426.404/2016 07/01/2016 Habis masa berlaku
50 KLENANG KIDULACHMAD DZULKIFLI, A.Md.Gz Non PNS P2T/166/03.01/01/II/2013 07/02/2013 11. GIZI 446/023/SIKTGz/426.116/2017 22/11/2017 Habis masa berlaku
51 KLENANG KIDULAIDA FITRIANI MAVI, A.Md.Kep Non PNS 16 01 5 2 1 12-0607242 04/06/2013 03. PERAWAT 446/097/SIKP/426.404/2016 31/03/2017 Habis masa berlaku
52 KLENANG KIDULALFI WAHYUNINGATI, A.Md. Keb PNS P2T/10359/03.01/01/XII/2013 21/06/2013 06. BIDAN 446/175/SIKB/426.404/2015 30/12/2015 Habis masa berlaku
53 KLENANG KIDULDYAH AYUNINGTYAS, A.Md. Keb. PNS P2T/10360/03.01/02/XII/2013 23/12/2013 06. BIDAN 446/113/SIKB/426.404/2016 05/08/2016 Habis masa berlaku
54 KLENANG KIDULHARTONO, A.Md.Kep Non PNS P2T/5295/03.02/01/IV/2013 17/04/2013 03. PERAWAT 446/212/SIKP/426.404/2016 27/04/2016 Habis masa berlaku
55 KLENANG KIDULKARTIKA SAFITRI, A.Md.Keb. PNS P2T/8153/03.01/02/X/2013 01/10/2013 06. BIDAN 446/6.799/426.102/2013 24/12/2013 Habis masa berlaku
56 RANUGEDANG BAMBANG SAMPURNA PNS P2T/562/03,10/01/V/2012 24/05/2012 11. GIZI Proses Habis masa berlaku
57 RANUGEDANG FIRMAN PNS 02. DOKTER GIGI 446/1380/426.102/2010 01/06/2010 Habis masa berlaku
58 RANUGEDANG NINING DWI FERDIANA Non PNS P2T/6266/03.01/01/V/2013 02/05/2013 06. BIDAN 446/088/SIKB/426.404/2016 27/06/2016 Habis masa berlaku
59 TIRIS ARTONO, Amd,Gz.SKM. PNS 11. GIZI Tidak punya
60 TIRIS BAIDAWI,S,Kep.Ns. PNS P2T/2895/03.02/01/II/2013 02/06/2013 03. PERAWAT 446 / 1609 / 426.102 / 2014 04/03/2014 Habis masa berlaku
61 TIRIS DEVIN INDAH FRANSISKA,Amd.Keb. Non PNS P2T/4446/03.01/01/II/2013 26/02/2013 06. BIDAN Habis masa berlaku
62 TIRIS IKA SABTA RAGA MUSLIM,Amd.Keb. PNS 06. BIDAN Tidak punya
63 TIRIS LUTFI AL HABSY,S.Kep.Ners. Non PNS 03. PERAWAT Tidak punya
64 TIRIS RATIH NUR HIDAYATI,S.ST. Non PNS P2T/3410/03.01/01/IV/2012 04/04/2012 06. BIDAN Habis masa berlaku
65 TIRIS SUPRIH KUDONARTO PNS 03. PERAWAT Tidak punya
 Status
Nama Tanggal Tanggal
No Nama Kepega No. Surat Tanda Registrasi (STR) Jenis Profesi No. Surat Ijin Praktik (SIP) Keterangan
Puskesmas Penerbitan STR penerbitan SIP
waian
66 TIRIS TUTIK SAYEKTI UTAMI,Amd.Keb. PNS 06. BIDAN Tidak punya
67 KRUCIL Alis Sahrowatin, S.S.T PNS P2T/10045/03.01/02/XII/2013 16/12/2013 06. BIDAN Habis masa berlaku
68 KRUCIL Desi Usise Ambar Wati, Amd.Kep. Non PNS P2T/10453/03.02/01/XII/2013 13/12/2013 03. PERAWAT Habis masa berlaku
69 KRUCIL Dwi Firti Yuliati, A.Md.Keb. PNS P2T/10044/03.01/02/XII/2013 16/12/2013 06. BIDAN 446/007/SIPB/426.404/2016 11/01/2016 Habis masa berlaku
70 KRUCIL Hisam Ashadi, S.Kep. Ners. PNS 160171112-0606630 04/06/2013 03. PERAWAT Habis masa berlaku
71 KRUCIL Indah Widiyanti, Amd.Keb. Non PNS P2T/1349/03.01/01/I/2013 16/01/2013 06. BIDAN Habis masa berlaku
72 KRUCIL Moh. Thohir, Amd.Gz. Non PNS P2T/564/03.10/01/V/2012 24/05/2012 11. GIZI Habis masa berlaku
73 KRUCIL Mohammad Arik Wibowo, Amd.Kep. Non PNS P2T/10464/03.02/01/XII/2013 13/12/2013 03. PERAWAT Habis masa berlaku
74 KRUCIL Nopy Eka Shanti S.S.T. PNS P2T/10042/03.01/02/XII/2013 16/12/2013 06. BIDAN Habis masa berlaku
75 KRUCIL Nungki Eka Adiningtyas, A.md.Keb. Non PNS 06. BIDAN Tidak punya
76 KRUCIL Rahmawati, Amd.Keb. Non PNS P2T/3075/03.01/01/II/2013 04/02/2013 06. BIDAN Habis masa berlaku
77 KRUCIL Ridwan Mardhotillah, Amd.Kep. Non PNS 03. PERAWAT Tidak punya
78 KRUCIL Ririn Era Herfawanti, Amd.Keb. Non PNS P2T/44553/03.01/01/II/2013 26/02/2013 06. BIDAN Habis masa berlaku
79 KRUCIL Riska Ayu Dewi Saputri, Amd.Keb. Non PNS P2T/10061/03.01/01/XII/2013 16/12/2013 06. BIDAN Habis masa berlaku
80 KRUCIL Sri Wahyundari, A.Md.Keb. PNS 06. BIDAN Tidak punya
81 KRUCIL Suryani, A.Md.Keb. PNS P2T/10039/03.01/01/XII/2013 16/12/2013 06. BIDAN 446/016/SIKB/426.404/2016 11/01/2016 Habis masa berlaku
82 WANGKAL DEVI NINDA LESTARI, A.Md.Keb PNS P2T/446/03.01/02/2012 16/01/2012 06. BIDAN 446/5651/426.102/2013 04/11/2013 Habis masa berlaku
83 WANGKAL FEBI NURFIANSYAH, A.Md.Kep Non PNS 160151112-0607341 04/06/2013 03. PERAWAT Habis masa berlaku
84 WANGKAL FINGKI FENDY HARI A, A.Md.Kep PNS 160171112-0609234 04/06/2013 03. PERAWAT 446/2047/426.102/2014 11/04/2014 Habis masa berlaku
85 WANGKAL FITRA RAMADANA, A.Md.Kep Non PNS 160151112-0607329 04/07/2013 03. PERAWAT Habis masa berlaku
86 WANGKAL HENDRIANTO, A.Md.Kep Non PNS 160151112-0607345 04/06/2013 03. PERAWAT Habis masa berlaku
87 WANGKAL KHOIROTUN NISA', A.Md.Keb PNS P2T/8311/03.01/02/X/2013 22/10/2013 06. BIDAN 446/5645/426.102/2013 04/11/2013 Habis masa berlaku
88 WANGKAL KHOLIFATUS SA'DIYA, A.Md.Keb Non PNS P2T/4525/03.01/01/II/2013 26/02/2013 06. BIDAN Habis masa berlaku
89 WANGKAL NANANG WAHYUDI, A.Md.Kep PNS 160151112-0607262 04/06/2013 03. PERAWAT Habis masa berlaku
90 WANGKAL PUJI SANTOSO, S.KM PNS 161231112-0111012 01/04/2012 10. KESLING Habis masa berlaku
91 WANGKAL ROBIATUL ADAWIYAH, A.Md.Keb Non PNS P2T/4449/03.01/01/II/2013 26/02/2013 06. BIDAN 446/077/SIPB/426.404/2015 15/12/2015 Habis masa berlaku
92 WANGKAL SITI NOER AZIZAH, A.Md.Keb Non PNS P2T/10077/03.01/01/XII/2013 16/12/2013 06. BIDAN Habis masa berlaku
93 WANGKAL SRI RAHAYU A, A.Md PNS P2T/200/03.14/01/IV/2012 30/04/2012 20. ATLM Habis masa berlaku
94 WANGKAL VIVI ANDRIANI, A.Md.Keb Non PNS P2T/4350/03.01/01/II/2013 25/02/2013 06. BIDAN Habis masa berlaku
95 GLAGAH AF'AL KHOIRINA FILDZAH, A.Md.Keb Non PNS P2T/4510/03.01/01/II/2013 26/02/2013 06. BIDAN 446/083/SIKB/426.404/2016 08/06/2016 Habis masa berlaku
04. TERAPIS GIGI DAN MULUT
96 GLAGAH AKHMAT MUHARDONO, AKG. SKM PNS 160451112-0215575 01/05/2012 446/5981/426.102/2013 15/11/2013 Habis masa berlaku
(PERAWAT GIGI)
97 GLAGAH dr. RENI DEVIANDRA PNS 3521100113146880 17/12/2013 01. DOKTER 446/665/426.102/2014 12/02/2014 Habis masa berlaku
98 GLAGAH HENDRI PRASETYA, A.Md.Kep PNS 160151112-0609127 04/06/2013 03. PERAWAT 446/144/SIKP/426.404/2016 21/05/2016 Habis masa berlaku
99 GLAGAH KISMIYATI, A.Md.Kep PNS 160152112-0609126 04/06/2013 03. PERAWAT 446/145/SIKB/426.404/2016 23/05/2016 Habis masa berlaku
 Status
Nama Tanggal Tanggal
No Nama Kepega No. Surat Tanda Registrasi (STR) Jenis Profesi No. Surat Ijin Praktik (SIP) Keterangan
Puskesmas Penerbitan STR penerbitan SIP
waian
100 GLAGAH MOHAMMAD KHAFID, A.Md.Kep Non PNS 160151117-1399383 03. PERAWAT 446/165/SIKP/426.404/2016 09/06/2016 Habis masa berlaku
101 GLAGAH NUR HAFIDAH, A.Md.Keb Non PNS P2T/3373/03.01/01/IV/2012 04/04/2012 06. BIDAN 446/147/SIKP/426.404/2016 02/11/2016 Habis masa berlaku
102 GLAGAH ROBI'ATUL ADAWIYAH IKA, A.Md.Keb Non PNS P2T/10063/03.01/01/XII/2013 16/12/2013 06. BIDAN 446/026/SIPB/426.404/2016 08/06/2016 Habis masa berlaku
103 GLAGAH SYAMSUL HUDA, A.Md.Kep Non PNS 03. PERAWAT 446/018/SIKP/426.116/2017 30/01/2017 Habis masa berlaku
104 PAKUNIRAN Ainur Rohmah, Amd.Gz Non PNS P2T/26/03.10/01/I/2013 10/01/2013 11. GIZI 446/3.465/426.102/2014 04/07/2014 Habis masa berlaku
105 PAKUNIRAN Lailatul Hikmah Amd.Kep PNS 160152112-0607293 04/06/2013 03. PERAWAT 446/170/SIKP/426.404/2016 09/06/2016 Habis masa berlaku
106 PAKUNIRAN Nina Erdian Sandra, SST PNS P2T/4979/03.01/01/III/2013 04/03/2013 06. BIDAN 446/125/SIKB/426.404/2015 11/12/2015 Habis masa berlaku
107 PAKUNIRAN Rike Rustami, Amd.Keb. Non PNS P2T/4520/03.01/01/II/2013 27/02/2013 06. BIDAN 446/145/SIKB/426.116/2017 30/11/2017 Habis masa berlaku
108 KOTAANYAR Fenty Amalia S, Amd. Keb. PNS P2T/10316/03.01/02/XII/2013 19/12/2013 06. BIDAN Habis masa berlaku
109 KOTAANYAR Harni Windariati, Amd. Keb. PNS P2T/1414/03.01/02/I/2013 16/01/2013 06. BIDAN Habis masa berlaku
110 KOTAANYAR Slamet Arif, Amd. Kep. PNS 160151112-0584373 28/05/2013 03. PERAWAT Habis masa berlaku
111 KOTAANYAR Wiwin Hariyani PNS 06. BIDAN Tidak punya
112 PAITON ABDULLAH YASIN, S.Kep.Ners Non PNS 03. PERAWAT Tidak punya
113 PAITON ABDUR RAHIM ALI, A.Md.Kep Non PNS 03. PERAWAT Tidak punya
114 PAITON HALIMATUS SA'DIYAH,S.ST Non PNS P2T/9997/03.01/01/XII/2013 16/12/2013 06. BIDAN 446/067/SIKB/425.404/2016 23/03/2016 Habis masa berlaku
115 PAITON IKA SRI WAHYUNI, Amd.Keb PNS P2T/8572/03.01/02/X/2013 30/10/2013 06. BIDAN 446/5571/426.102/2013 04/11/2013 Habis masa berlaku
116 PAITON LATIFAH TIWIN SUSANTI, Amd.Keb Non PNS P2T/8572/03.01/02/X/2013 30/10/2013 06. BIDAN 446/135/SIKB/426.404/2015 11/12/2015 Habis masa berlaku
117 PAITON NURUL WIDAYAH, Amd.Kep Non PNS P2T/3210/03.02/02/II/2013 12/02/2013 03. PERAWAT 446/1778/426.102/2014 08/04/2014 Habis masa berlaku
118 PAITON PUJI SETYOWATI, Amd.Keb PNS P2T/9795/03.01/02/XII/2013 10/12/2013 06. BIDAN 446/133/SIKB/426.404/2015 11/12/2015 Habis masa berlaku
119 PAITON SULAMAN RASID, Amd.Kep Non PNS P2T/3266/03.02/01/II/2013 12/02/2013 03. PERAWAT Habis masa berlaku
120 PAITON TAMI PNS 06. BIDAN Tidak punya
08. TEKNIS KEFARMASIAN
121 PAITON TITIK ISTIANAH PNS Tidak punya
(FARMASI NON APOTEKER)
04. TERAPIS GIGI DAN MULUT
122 JABUNGSISIR Moch. Andriyanto Ariwibowo, Amd.Kep.Gi Non PNS P2T/45/03.03/01/II/2013 22/02/2013 MASIH PROSES Habis masa berlaku
(PERAWAT GIGI)
123 JABUNGSISIR Silawasih, Amd. Keb Non PNS P2T/1400/03.01/01/I/2013 16/01/2013 06. BIDAN 446/068/SIPB/426.404/2016 15/11/2016 Habis masa berlaku
124 BAGO DEVI SULISNINGTYAS,A.Md.GZ Non PNS P2T/28/03.01/01/I/2013 11/01/2013 11. GIZI 446/3.466/426.102/2014 04/07/2014 Habis masa berlaku
125 BAGO FITA ORIN MELATI,S.Kep.Ns Non PNS ₋ ₋ 03. PERAWAT Tidak punya
126 BAGO MEI RISKA SOLFIANA HIDAYATI,A.Md.Keb Non PNS P2T/1286/03.01/01/I/2013 15/01/2013 03. PERAWAT Habis masa berlaku
08. TEKNIS KEFARMASIAN
127 BAGO RIA FATMANINGSIH,A.Md PNS DALAM PROSES ₋ Habis masa berlaku
(FARMASI NON APOTEKER)
128 BAGO SITI SULAIHA WARDANI,A.Md.K.eb Non PNS 06. BIDAN DALAM PROSES BELUM TURUN Habis masa berlaku
129 BESUK Atikatul Monawaroh Non PNS P2T/4544/03.01/01/II/2013 20/02/2013 06. BIDAN 446/086/SIKB/426.404/2016 20/06/2016 Habis masa berlaku
130 BESUK Kabul Wijaya Non PNS 160151112-0609072 04/06/2013 03. PERAWAT 446/1479/426.102/2014 01/04/2014 Habis masa berlaku
131 BESUK MOH.Syarif Non PNS P2T/10463/03.02/01/XII/2013 13/12/2013 03. PERAWAT 446/072/SIPP/426.404/2016 27/04/2016 Habis masa berlaku
132 BESUK Reviyatul Ashar Non PNS 06. BIDAN Tidak punya
 Status
Nama Tanggal Tanggal
No Nama Kepega No. Surat Tanda Registrasi (STR) Jenis Profesi No. Surat Ijin Praktik (SIP) Keterangan
Puskesmas Penerbitan STR penerbitan SIP
waian
133 BESUK Vera Yunita Dewi Non PNS 03. PERAWAT Tidak punya
134 KRAKSAAN Anggi Wahyu Pratiiwi PNS P2T/405/03.01/01/I/2013 01/07/2013 06. BIDAN 446/06/SIKB/426.404/2016 25/01/2016 Habis masa berlaku
135 KRAKSAAN Deviana Armeda Bama Non PNS 06. BIDAN Tidak punya
136 KRAKSAAN Hurriyah Kusuma Dinihari PNS 06. BIDAN 446/204/SIKB/426.404/2016 23/11/2016 Habis masa berlaku
137 KRAKSAAN Nike Anggi Praminto Non PNS 03. PERAWAT Tidak punya
138 KRAKSAAN Ratna Kusumastuti PNS 06. BIDAN Tidak punya
139 KRAKSAAN Siti Halimah PNS P2T/7054/03.01/02/VIII/2013 26/08/2013 06. BIDAN 446/024/SIKB/426.404/2016 25/01/2016 Habis masa berlaku
08. TEKNIS KEFARMASIAN
140 KRAKSAAN Sukarwati PNS 446/017/SIKTTK/426.404/2016 21/10/2016 Habis masa berlaku
(FARMASI NON APOTEKER)
141 KRAKSAAN Turyati Non PNS 03. PERAWAT Tidak punya
142 KRAKSAAN Yulia Rakhmawati PNS P2T/5534/03.01/02/III/2013 19/03/2013 06. BIDAN 446/025/SIKB/426.404/2016 25/01/2016 Habis masa berlaku
143 KREJENGAN Elok Marisa Non PNS 03. PERAWAT Tidak punya
144 KREJENGAN FEBRI ANDANA BAYU PERMADI, S.Kep.Ns Non PNS 03. PERAWAT Tidak punya
145 KREJENGAN GESANG BUDI UTAMI PNS P2T/1431/03.D1/2/II/2012 28/02/2012 06. BIDAN 446/2015/426.102/2012 16/05/2012 Habis masa berlaku
146 KREJENGAN Halimatus Sa'diyah Non PNS 06. BIDAN Tidak punya
147 KREJENGAN IDOM DOFI, Amd.Kep Non PNS 1601511120607325 04/06/2013 03. PERAWAT 446/287/426.102/2013 15/01/2013 Habis masa berlaku
148 KREJENGAN LAILI IFA PNS P2T/3475/03.01/02/II/2013 12/02/2013 06. BIDAN 446/154/SIKB/426.404/2015 15/12/2015 Habis masa berlaku
149 KREJENGAN Lukman Ibnu Arif Non PNS 03. PERAWAT Tidak punya
150 KREJENGAN MEDISON RADITYA GUMILANG PNS 20. ATLM Tidak punya
151 KREJENGAN NANIK LESTARI PNS P2T/56556/03.01/02/III/2013 25/03/2013 06. BIDAN 446/147/SIKB/426.404/2015 15/12/2015 Habis masa berlaku
152 KREJENGAN Novita Dwi Ayu Lazaria Non PNS 06. BIDAN Tidak punya
153 KREJENGAN NUNUK KURNIAWATI Non PNS P2T/565/03.10/01/V/2012 24/05/2012 11. GIZI 446/3.370/426.102/2014 27/06/2014 Habis masa berlaku
154 KREJENGAN NURI ISTIANA DEWI , Amd.Keb Non PNS 06. BIDAN Tidak punya
155 KREJENGAN NURUL HASANAH PNS 06. BIDAN Tidak punya
156 KREJENGAN PRIHATINI HAKIKI, Amd.Keb Non PNS P2T/0301/03.01/2013 26/02/2013 06. BIDAN 446/145/SIKB/426.404/2015 15/02/2015 Habis masa berlaku
157 KREJENGAN SARIYANTO, Amd.Kep Non PNS 03. PERAWAT Tidak punya
04. TERAPIS GIGI DAN MULUT
158 KREJENGAN Shofiyatul Munawaroh Non PNS Tidak punya
(PERAWAT GIGI)
159 KREJENGAN SITI HELMI, Amd.Kep Non PNS 1601521120607333 04/06/2013 03. PERAWAT 446/075/SIKP/426.404/2015 28/12/2015 Habis masa berlaku
160 KREJENGAN SOLAWATI PNS P2T/1430/03.01/02/II/2012 16/05/2012 06. BIDAN 446/2004/426.102/2012 16/05/2012 Habis masa berlaku
161 KREJENGAN SUBAIDA NING RAHAYU, Amd.Kep Non PNS 1601521120607332 04/06/2013 03. PERAWAT 446/057/SIKP/426.404/2015 18/12/2015 Habis masa berlaku
162 KREJENGAN Umi Auliyatul Faizah Non PNS 06. BIDAN Tidak punya
163 KREJENGAN UMI KULSUM PNS P2T/3370/03.01/VII/2011 16/05/2011 06. BIDAN Habis masa berlaku
164 KREJENGAN Yeni Isnainia Mumpuni Non PNS 06. BIDAN Tidak punya
165 KREJENGAN YUNI BUDI ESTININGTYAS PNS 19770628/STRA-UNAIR/2002/218168 28/06/2002 07. APOTEKER 446/021/sipa/426.404/2016 19/10/2016 Habis masa berlaku
166 PAJARAKAN Bambang Wijanarko PNS 09. KESEHATAN MASYARAKAT Tidak punya
 Status
Nama Tanggal Tanggal
No Nama Kepega No. Surat Tanda Registrasi (STR) Jenis Profesi No. Surat Ijin Praktik (SIP) Keterangan
Puskesmas Penerbitan STR penerbitan SIP
waian
167 PAJARAKAN Indah Fitriani, A.Md.Kep Non PNS P2T/3252/03.02/01/II/2013 12/02/2013 03. PERAWAT 446/047/SIPP/426.116/2017 06/11/2017 Habis masa berlaku
168 PAJARAKAN Nur Aini, A.Md.Keb Non PNS P2T/468/03.01/01/I/2013 11/01/2013 06. BIDAN Dalam Proses - Habis masa berlaku
169 PAJARAKAN Nur Azizah, A.Md.Keb Non PNS P2T/4362/03.01/01/II/2013 25/02/2013 03. PERAWAT 446/222/SIKB/426.404/2016 08/12/2016 Habis masa berlaku
170 MARON A'am fajariah,Amd Keb Non PNS P2T/4430/03.01/01/II/2013 26/02/2013 06. BIDAN Habis masa berlaku
171 MARON Akvalia Hartani,Amd.Keb Non PNS P2T/9972/03.01/01/XII/2013 16/12/2013 06. BIDAN 446/075/SIKB/426.116/2017 12/07/2017 Habis masa berlaku
172 MARON Moh.Anwarrudin,Amd.Kep Non PNS P2T/3278/03.02/01/II/2013 12/02/2013 03. PERAWAT Habis masa berlaku
173 MARON Nugroho Agung Mustaqim,Amd PNS 16 07 5 1 1 12-0026069 21/04/2012 16. RADIOGRAFER Habis masa berlaku
174 MARON Wahyuni,Amd.Kep Non PNS P2T/10481/03.02/01/XII/2013 13/12/2013 03. PERAWAT 446/017/SIKP/426.404/2016 14/01/2016 Habis masa berlaku
175 MARON Yenik Purwati,Amd.Keb PNS P2T/6671/03.01/02/VI/2013 11/06/2013 06. BIDAN 446/6.827/426.102/2013 24/12/2013 Habis masa berlaku
176 SUKO Elinda Sayyida Fatimah, A.Md.Keb Non PNS P2T/4450/03.01/01/II/2013 26/02/2013 06. BIDAN Belum Di Urus Habis masa berlaku
177 SUKO Muhamad Iskhak, S.Kep.Ns PNS 16 01 5 1 1 12-0607202 04/06/2013 03. PERAWAT 446/1593/426.102/2014 03/04/2014 Habis masa berlaku
178 SUKO Nuritavia, A.Md.Kep Non PNS 16 01 52 1 12-0609124 04/06/2013 03. PERAWAT 446/128/SIKP/426.404/2016 28/04/2016 Habis masa berlaku
179 GENDING Fajar Sri Y, A.Md.Kep PNS P2T/4819/03.02/02/III/2013 27/03/2013 03. PERAWAT Habis masa berlaku
180 GENDING Hindun Wahyuningsih,A.Md.Keb PNS P2T/10047/03.01/02/XII/2013 16/12/2013 06. BIDAN 446/478/426.102/2014 30/01/2014 Habis masa berlaku
181 GENDING Laily Muharromah, S.S.T PNS P2T/10362/03.01/01/XII/2013 23/12/2013 06. BIDAN 446/022/SIKB/426.404/2016 22/01/2016 Habis masa berlaku
182 GENDING Lutfiah Ulfa,A.Md.Keb Non PNS P2T/7878/03.01/02/IX/2013 23/09/2013 06. BIDAN 446/5648/426.102/2013 04/11/2013 Habis masa berlaku
183 GENDING Masruroh, S.S.T PNS P2T/10073/03.01/02/XII/2013 16/12/2013 06. BIDAN 446/003/SIKB/426.404/2016 27/01/2016 Habis masa berlaku
184 GENDING Rina Kamasari, S.Tr.Keb PNS PROSES PENGURUSAN 06. BIDAN PROSES PENGURUSAN Habis masa berlaku
185 DRINGU Fenty Oktarivantini Non PNS TIDAK PUNYA 03. PERAWAT TDAK PUNYA Habis masa berlaku
186 DRINGU Jariyah Kaliwangi Non PNS P2T/652/03.01/01/I/2013 08/01/2013 06. BIDAN Tidak punya
187 DRINGU Suhartini PNS P2T/4629/03.02/02/III/2013 20/03/2013 03. PERAWAT MASIH PROSES Habis masa berlaku
188 DRINGU Vida Herlina PNS P2T/10164/03.01/02/XII/2013 17/12/2013 06. BIDAN 446/6.835/426.102/2013 24 DESEMBER 2013Habis masa berlaku
189 WONOMERTO Andri Wahyuningsih PNS P2T/568/03.10/01/V/2012 24/05/2012 11. GIZI 446/005/SIKTGz/426.404/2016 12/10/2016 Habis masa berlaku
190 WONOMERTO Dian Arif Putri P, Amd.Keb Non PNS P2T/10093/03.01/01/II/2013 16/12/2013 06. BIDAN 446/111/SIKB/426.404/2015 08/12/2015 Habis masa berlaku
191 WONOMERTO Mukhammad Ridhoi, Amd.Kep Non PNS P2T/7883/0302/01/X/2013 01/10/2013 03. PERAWAT 446/224/SIKP/426.404/2016 12/10/2016 Habis masa berlaku
192 WONOMERTO Reni Marcelina, Amd. Keb Non PNS P2T/4467/03/01/01/II/2012 26/02/2012 06. BIDAN 446/104/SIKB/426.404/2016 11/07/2016 Habis masa berlaku
193 WONOMERTO Rosyida Jamil, Amd.Keb Non PNS P2T/2869/03.01/01/I/2013 31/01/2013 06. BIDAN 446/108/SIKB/426.404/2015 08/12/2015 Habis masa berlaku
194 WONOMERTO Sri Handayani, SST PNS P2T/6008/03.01/02/IV/2013 11/04/2013 06. BIDAN 446/110/SIKB/426.404/2015 08/12/2015 Habis masa berlaku
195 WONOMERTO Umi Ida Sofiyah, SST PNS P2T/6009/03.01/02/IV/2013 11/04/2013 06. BIDAN 446/6.803/426.102/2013 24/12/2013 Habis masa berlaku
196 LUMBANG AMIN ASHARI PNS 16 01 5 1 1 12-0607342 04/06/2013 03. PERAWAT 446/2036/426.102/2014 11/04/2014 Habis masa berlaku
197 LUMBANG FARIDA LAILATUL FITRIA PNS P2T/5634/03.01/02/III/2013 22/03/2013 06. BIDAN 446/5675/426.102/2013 04/11/2013 Habis masa berlaku
198 LUMBANG HARY POERNOMO PNS SPK - 03. PERAWAT - Tidak punya
199 LUMBANG ILMU IDEALIS PNS 16 01 5 2 1 12-0607186 04/06/2013 03. PERAWAT 446/154/SIKP/426.404/2016 06-Jun-16 Habis masa berlaku
200 LUMBANG LITA EVALIANA A PNS P2T/6324/03.01/01/V/2013 08/05/2013 06. BIDAN Proses Habis masa berlaku
201 LUMBANG SIDIK ADAM KHOLIK PNS P2T/74/03.12/01/III/2013 13/03/2013 10. KESLING P2T/74/03.12/01/III/2013 13-Mar-13 Habis masa berlaku