Daftar PPDS Dan Lulusan 2018

PROGRAM PENDIDIKAN DOKTER SPESIALIS ANAK
FAKULTAS KEDOKTERANUNIVERSITAS AIRLANGGA 1-Nov-20

Daftar Peserta Program Tahun 2016
No Nama Lengkap (+title) NIM Sex Tempat Tgl lahir Alumni S1 (FK) Status Masuk PPDS
Lk/Pr Lahir [hr] [bl] [th] Depkes/TNI/Polri MKDU [hr] [bl] [th]
/Perorangan/……..
1 dr. Susilo Pambudi 010981111 L Nganjuk 14-Sep-76 FK UNAIR Pemda 1-Jul-08 1-Jan-09
2 dr. Santi Faradilla 010981125 P Banda Aceh 14-Apr-74 FK UNSYIAH Depkes 1-Jul-09 1-Jan-10
3 dr. Mohammad Thoufik Hidayat 011081103 L Plaju 1-Dec-73 FK UNS Perorangan 1-Jul-10 1-Jan-11
4 dr. Laily Mufidah 011081109 P Pasuruan 8-Feb-82 FK UNAIR Depkes 1-Jul-10 1-Jan-11
5 dr. Adrianus Harry Seputra 011081105 L Malang 21-Dec-84 FK UNAIR Perorangan 1-Jul-10 1-Jan-11
6 dr. Wahyu Wibowo 011081101 L Tulungagung 20-Nov-76 FK UNAIR Perorangan 1-Jul-10 1-Jan-11
7 dr. Muhamad Kahfi 011081107 L Jakarta 1-Sep-78 FK USAKTI Perorangan 1-Jul-10 1-Jan-11
8 dr. Djuhdi Husnuddin 011081104 L Surabaya 22-Apr-84 FK UNAIR Perorangan 1-Jul-10 1-Jan-11
9 dr. Devi Emawanti 011081111 P Bondowoso 22-Jun-75 FK UNAIR TNI 1-Jan-11 1-Jul-11
10 dr. Septria Erlitarini Sudjito 011081115 P Semarang 3-Sep-82 FK UNAIR Perorangan 1-Jan-11 1-Jul-11
11 dr. Kristina Natalia Marbun 011081114 P Jakarta 14-Dec-78 FK UKI Depkes 1-Jan-11 1-Jul-11
12 dr. Rafiqa Rais Akbar 011081113 P Pinrang 18-Aug-82 FK UNHAS Depkes 1-Jan-11 1-Jul-11
13 dr. Desi Primayani 011181110 P Surabaya 20-Dec-78 FK UNAIR Perorangan 1-Jul-11 1-Jan-12
14 dr. Nurita Alami 011181111 P Tulungagung 24-Dec-83 FK UNAIR Perorangan 1-Jul-11 1-Jan-12
15 dr. Yurie Muharmaris 011181112 L Surabaya 29-Sep-84 FK UNAIR Perorangan 1-Jul-11 1-Jan-12
16 dr. Theresa Laura 011181106 P Banjarmasin 19-Jul-82 FK UNAIR Depkes 1-Jul-11 1-Jan-12
17 dr. Yuli Nurhidayati 011181109 P Kediri 18-Jul-78 FK UNAIR TNI 1-Jul-11 1-Jan-12
18 dr. Octavianus Eka Saputra 011181107 L Grobongan 26-Oct-78 FK UNAIR Perorangan 1-Jul-11 1-Jan-12
19 dr. Harry Febryanto 011181103 L Surabaya 23-Feb-85 FK UNAIR Perorangan 1-Jul-11 1-Jan-12
20 dr. Pherenice Charisti 011181102 P Lumajang 29-Jul-83 FK UNBRA Perorangan 1-Jul-11 1-Jan-12
21 dr. Yudhi Kurniawan 011181108 L Padang Panjang 7-Jun-81 FK U. Baiturrahmah Pemda 1-Jul-11 1-Jan-12
22 dr. Riza Maulina 011181104 P Surabaya 23-Dec-83 FK UNAIR Perorangan 1-Jul-11 1-Jan-12
23 dr. Dian Saraswati 011181101 P Surabaya 24-Apr-78 FK UNBRA Perorangan 1-Jul-11 1-Jan-12
24 dr. Wahyu Bagus Handoko 011181121 L Sidoarjo 4-Nov-82 FK UNAIR Depkes 1-Jan-12 1-Jul-12
25 dr. Hedi Mustiko 011181114 L Lamongan 22-Sep-83 FK UNAIR Perorangan 1-Jan-12 1-Jul-12
26 dr. Dian Purnama Sari 011181120 P Denpasar 27-Aug-86 FK UDAYANA Depkes 1-Jan-12 1-Jul-12
27 dr. Gina Noor Djalilah 011181118 P Cianjur 28-Jan-82 FK UNAIR Perorangan 1-Jan-12 1-Jul-12
28 dr. Nia Nurul Azizah 011181119 P Jakarta 12-Jun-76 FK USAKTI Perorangan 1-Jan-12 1-Jul-12
29 dr. Taufiqurrachman Soekardi 011181116 L Pamekasan 6-Dec-79 FK UHT Perorangan 1-Jan-12 1-Jul-12
30 dr. Mochammad Mustafa Kahmaruddin 011181117 L Jakarta 27-Feb-79 FK UNBRA Swasta 1-Jan-12 1-Jul-12
31 dr. Riza Noviandi 011181113 L Gresik 5-Nov-85 FK UNAIR Perorangan 1-Jan-12 1-Jul-12
32 dr. Pramita Anindya Nugraheni 011181115 P Surabaya 20-Jan-83 FK UHT Perorangan 1-Jan-12 1-Jul-12
33 dr. I Dewa Ayu Agung Sridharaswari 011218116309 P Denpasar 6-Dec-86 FK UNAIR Perorangan 1-Jul-12 1-Jan-13
34 dr. Ahmad Zakky Mashuri 011218116308 L Sidoarjo 15-Oct-79 FK UNAIR Perorangan 1-Jul-12 1-Jan-13
35 dr. Nur Nailul 011218116303 P Ujung Pandang 26-Dec-82 FK UNAIR Pemprov 1-Jul-12 1-Jan-13
36 dr. Novi Rahayu Arianti 011218116302 P Probolinggo 5-Nov-79 FK UNAIR Depkes 1-Jul-12 1-Jan-13
37 dr. Dhini Karunia Benih Asmara 011218116304 P Samarinda 8-Nov-80 FK UHT Depkes 1-Jul-12 1-Jan-13
38 dr. Reny Widayanti 011218116305 P Surabaya 14-Sep-79 FK UNAIR TNI 1-Jul-12 1-Jan-13
39 dr. Deasy Fiasry 011218116301 P Bengkulu 22-Jul-79 FK UHT HANKAM 1-Jul-12 1-Jan-13
40 dr. Arda Pratama Putra Chafid 011218116311 L Ende 29-Apr-83 FK UWK Perorangan 1-Jul-12 1-Jan-13
41 dr. Zulfito Marendra 011218116307 L Jakarta 21-Jul-77 FK UNBRA Depkes 1-Jul-12 1-Jan-13
42 dr. Elizabeth Beatrice Jonathan 011218116310 P Malang 22-Oct-84 FK UHT Perorangan 1-Jul-12 1-Jan-13
43 dr. Maria Natalia Nababan 011218116306 P Medan 5-Dec-82 FK Methodist Ind.Medan Perorangan 1-Jul-12 1-Jan-13
44 dr. Citra Ganesa Putri 011228116303 P Jakarta 11-May-86 FK USAKTI Perorangan 1-Jan-13 1-Jul-13
45 dr. Lusiana 011228116302 P Malang 1-Aug-78 FK UNIBRAW Perorangan 1-Jan-13 1-Jul-13
46 dr. Soraya Salle Pasulu 011228116308 P Rautepao 10-Apr-87 FK UNUD Depkes 1-Jan-13 1-Jul-13
47 dr. Senja Baiduri 011228116309 P Seibamban 14-Dec-84 FK USU Depkes 1-Jan-13 1-Jul-13
48 dr. Nanda Hudawwarachmah 011228116304 P Banda Aceh 1-Jun-85 FK UISU Perorangan 1-Jan-13 1-Jul-13
49 dr. Anik Andris Setyaningrum 011228116310 P Surabaya 1-Mar-78 FK UNAIR Depkes 1-Jan-13 1-Jul-13
50 dr. Naomi Helena Paulus 011228116306 P Denpasar 15-Dec-78 FK UNDIP Perorangan 1-Jan-13 1-Jul-13
51 dr. Imella Marcos 011228116307 P Surabaya 21-Nov-83 FK UHT Depkes 1-Jan-13 1-Jul-13
52 dr. Laksmi Puspita Yuniasari 011228116301 P Denpasar 1-Jun-84 FK UHT Perorangan 1-Jan-13 1-Jul-13
53 dr. Agus Sunandar 011228116305 L Gresik 18-May-78 FK UHT Depkes 1-Jan-13 1-Jul-13
54 dr. Sri Astuti Eviningrum 011228116311 P Jakarta 1-Mar-78 FK Atma Jaya Depkes 1-Jan-13 1-Jul-13
55 dr. Intani Dewi Syahti Fauzi 011318116301 P Bogor 7-Dec-86 FK USAKTI Perorangan 1-Jul-13 1-Jan-14
56 dr. Renyta Ika Damayanti 011318116308 P Kediri 16-Mar-84 FK UNAIR Depkes 1-Jul-13 1-Jan-14
57 dr. Rewina Intan Asmarani 011318116306 P Mataram 8-Sep-87 FK UNAIR Perorangan 1-Jul-13 1-Jan-14
58 dr. Trias Kusuma Sari 011318116310 P Bekasi 7-Sep-87 FK UKI Depkes 1-Jul-13 1-Jan-14
59 dr. Andri Kurnia Wahyudi 011318116302 L Banyuwangi 12-Oct-81 FK UNAIR Perorangan 1-Jul-13 1-Jan-14
60 dr. Febrina Pradita 011318116304 P Surabaya 20-Feb-88 FK UNAIR Perorangan 1-Jul-13 1-Jan-14
61 dr. Esthy Poespitaningtyas 011318116305 P Surabaya 31-May-81 FK UNIBRAW Depkes 1-Jul-13 1-Jan-14
62 dr. I Wayan Putra Artha Abra Wiratara 011318116307 L Malang 8-Apr-80 FK UNHAS Depkes 1-Jul-13 1-Jan-14
63 dr. Masayu Ramadhani Polanunu 011318116311 P Ambon 29-Jun-84 FK UNAIR Depkes 1-Jul-13 1-Jan-14
64 dr. Evisina Hanafiati Frans 011318116303 P Surabaya 28-Dec-82 FK UNAIR Perorangan 1-Jul-13 1-Jan-14
65 dr. Berty Mitsu Yudhianty 011318116309 P Jakarta 16-Oct-82 FK U 11 Mar Depkes 1-Jul-13 1-Jan-14
66 dr. Shirley Ferlina Lasmono 011328116301 P Surabaya 24-Sep-87 FK UNAIR Perorangan 1-Jan-14 1-Jul-14
67 dr. Hapsari Widya Ningtiar 011328116302 P Bogor 21-Jan-84 FK Univ. Yarsi TNI 1-Jan-14 1-Jul-14
68 dr. Rizky Arisanti Maharani 011328116303 P Surabaya 30-Oct-87 FK UHT Perorangan 1-Jan-14 1-Jul-14
69 dr. Novi Dwi Anggraini 011328116304 P Balikpapan 2-Nov-85 FK Univ. Mulawarman Depkes 1-Jan-14 1-Jul-14
70 dr. Kartika Hardiyani 011328116305 P Jakarta 6-Jun-86 FK UKI Perorangan 1-Jan-14 1-Jul-14
71 dr. Sugi Deny Pranoto Soegianto 011328116306 L Surabaya 26-Sep-87 FK UNAIR Depkes 1-Jan-14 1-Jul-14
72 dr. Lasmauli Situmorang 011328116307 P Fakfak 27-Jan-82 FK UNDIP Depkes 1-Jan-14 1-Jul-14
73 dr. Indah Ratna Sari 011328116308 P Surabaya 25-May-83 FK UNAIR Depkes 1-Jan-14 1-Jul-14
74 dr. Agus Budiarto 011328116309 L Kediri 17-Aug-85 FK UNAIR Perorangan 1-Jan-14 1-Jul-14
75 dr. Tutwuri Handayani 011328116310 P Surabaya 1-Sep-82 FK UNAIR Perorangan 1-Jan-14 1-Jul-14
76 dr. Eko Wahyudi 011328116311 L Kediri 12-Mar-82 FK UNAIR Depkes 1-Jan-14 1-Jul-14
77 dr. Dina Aristiya Sumarno 011418116301 P Tarakan 6-Oct-83 FK UII Yogya Pemkab 1-Jul-14 1-Jan-15
78 dr. Dinda Anes Tunjungsari 011418116302 P Surabaya 1-Jul-88 FK UNAIR Perorangan 1-Jul-14 1-Jan-15
79 dr. Emma Ratna Fury 011418116303 P Kediri 21-May-85 FK UNAIR Perorangan 1-Jul-14 1-Jan-15
80 dr. Putri Wulan Sukmawati 011418116304 P Malang 1-Jun-87 FK UMM Perorangan 1-Jul-14 1-Jan-15
81 dr. Dewi Rahmawati 011418116305 P Kediri 8-Mar-84 FK UNBRA Pemkab 1-Jul-14 1-Jan-15
82 dr. Resty Varia Tutupoho 011418116306 P Surabaya 26-Jul-85 FK UNEJ Pemkab 1-Jul-14 1-Jan-15
83 dr. Dyah Wikanesthi 011418116307 P Surabaya 9-Nov-88 FK UNAIR Perorangan 1-Jul-14 1-Jan-15
84 dr. Rizka Yulianti 011418116308 P Selong 11-Aug-86 FK UNHAS Perorangan 1-Jul-14 1-Jan-15
85 dr. Umamah 011418116309 P Jember 20-Feb-82 FK UNAIR Perorangan 1-Jul-14 1-Jan-15
86 dr. Desy Nurrosalia Wisnuwardani 011418116310 P Malang 2-Dec-82 FK UHT Perorangan 1-Jul-14 1-Jan-15
87 dr. Mardiyan Aprianto 011418116311 L Pontianak 22-Apr-86 FK YARSI Perorangan 1-Jul-14 1-Jan-15
88 dr. Chasan Ismail 011428116301 L Sidoarjo 22-Aug-85 FK UHT Pemkab 1-Jan-15 1-Jul-15
89 dr. Andi Rahadian Prajitno 011428116302 L Surabaya 24-Oct-86 FK UNAIR Perorangan 1-Jan-15 1-Jul-15
90 dr. Aini Ariefa 011428116303 P Samarinda 12-Jan-88 FK UNLAM Perorangan 1-Jan-15 1-Jul-15
91 dr. Rendi Aji Prihaningtyas 011428116304 P Surabaya 10-Dec-88 FK UGM Perorangan 1-Jan-15 1-Jul-15
92 dr. Frans Maradona Pasaribu 011428116305 L Rantauprapat 13-Mar-81 FK USU Pemkab 1-Jan-15 1-Jul-15
93 dr. Bangkit Putrawan 011428116306 L Ujung Pandang 20-May-82 FK UNBRA Pemkab 1-Jan-15 1-Jul-15
94 dr. Rika Hapsari 011428116307 P Lampung 1-Oct-88 FK UNAIR Perorangan 1-Jan-15 1-Jul-15
95 dr. Ratih Dwi Andini 011428116308 P Samarinda 4-Apr-84 FK UMM Depkes 1-Jan-15 1-Jul-15
96 dr. Khadijah Rizky Sumitro 011428116309 P Ngawi 7-Aug-90 FK UNAIR Pemkab 1-Jan-15 1-Jul-15
97 dr. Loysa Ladydi 011428116310 P Jakarta 27-Jul-81 FK UKI TNI 1-Jan-15 1-Jul-15
98 dr. Nengcy Erlina Tasik Rerung 011428116311 P Sentani 4-Feb-84 FK UPN Veteran JKT Pemkab 1-Jan-15 1-Jul-15
99 dr. Imanuel Far-Far 011518116307 L Ambon 17-Nov-86 FK UKI Depkes 1-Jul-15 1-Jan-16
100 dr. Dwi Lestari Avianti 011518116304 P Surabaya 5-Jun-83 FK UHT Surabaya TNI 1-Jul-15 1-Jan-16
101 dr. Miriawati 011518116308 P Pontianak 28-Oct-81 FK UK Krida Wacana Depkes 1-Jul-15 1-Jan-16
102 dr. Chairunnisa 011518116310 P Jakarta 2-Oct-85 FK UNAIR Depkes 1-Jul-15 1-Jan-16
103 dr. Alexander Leonard Caesar Josediputra 011518116302 L Surabaya 27-May-89 FK UNAIR Perorangan 1-Jul-15 1-Jan-16
104 dr. Priscilla Putri Harmany 011518116301 P Jakarta 13-Apr-87 FK UKI Perorangan 1-Jul-15 1-Jan-16
105 dr. Kadek Ayu Atrie Swarita 011518116305 P Jombang 10-Mar-88 FK UNBRA Perorangan 1-Jul-15 1-Jan-16
106 dr. Dian Yashifa 011518116306 P Jambi 11-May-89 FK Unv. Andalas Perorangan 1-Jul-15 1-Jan-16
107 dr. Yuli Astika 011518116309 P Sampit 7-Jul-84 FK UNLAM Depkes 1-Jul-15 1-Jan-16
108 dr. Iin Fatimah 011518116303 P Tulung Agung 4-Jul-85 FK UNAIR Perorangan 1-Jul-15 1-Jan-16
109 dr. Helen Wila Mangngi Talolena 011518116311 P Fak-Fak 29-Jul-84 FK UNAIR Depkes 1-Jul-15 1-Jan-16
110 dr. Carrina Nenggar Dewanti 011528116301 P Makassar 22-Jun-83 FK UNHAS Perorangan 1-Jan-16 1-Jul-16
111 dr. Adwina Nurlita Kusuma Wardhani 011528116302 P Surakarta 24-Jun-89 FK UNAIR Perorangan 1-Jan-16 1-Jul-16
112 dr. Siti Wahyu Windarti 011528116303 P Sumenep 11-Oct-88 FK UNAIR Perorangan 1-Jan-16 1-Jul-16
113 dr. Uuk Riuh Kusuma Wardana 011528116304 L Bangkalan 16-Mar-80 FK UWK Perorangan 1-Jan-16 1-Jul-16
114 dr. Maria Christine Florens Sandra 011528116305 P Bandung 20-Dec-87 FK UK Maranatha Perorangan 1-Jan-16 1-Jul-16
115 dr. Indah Lestari 011528116306 P Tanjung Selor 6/3/1985 FK Univ. Mulawarman Perorangan 1-Jan-16 1-Jul-16
116 dr. Wurry Ayuningtyas 011528116307 P Surabaya 25-Jun-88 FK UNAIR Perorangan 1-Jan-16 1-Jul-16
117 dr. Candra Maulana 011528116308 L Surabaya 12-Dec-84 FK UNAIR Perorangan 1-Jan-16 1-Jul-16
118 dr. Fitrih Rahmawati Sultoni 011528116309 P Malang 3-Jan-85 FK UNAIR Perorangan 1-Jan-16 1-Jul-16
119 dr. Anitha Marllyin Mairuhu 011528116310 P Ambon 18-Aug-88 FK UKI Depkes 1-Jan-16 1-Jul-16
120 dr. Dwi Retno Wulandari 011528116311 P Surabaya 1-Sep-79 FK UNAIR Perorangan 1-Jan-16 1-Jul-16
121 dr. Henry Wicaksono 011618116301 L Surabaya 18-Feb-88 FK UNAIR Perorangan 1-Jul-16 1-Jan-17
122 dr. Seta Widya Nugraha 011618116302 L Purworejo 29-Mar-86 FK UWK Perorangan 1-Jul-16 1-Jan-17
123 dr. Ike Wahyu Triastuti 011618116303 P trenggalek 21-Sep-88 FK UNBRA Perorangan 1-Jul-16 1-Jan-17
124 dr. Sylvia WIjaya 011618116304 P Sumenep 23-May-85 FK UHT Depkes 1-Jul-16 1-Jan-17
125 dr. Yesi Ermawati 011618116305 P Jakarta Selatan 7-Mar-89 FK USAKTI Perorangan 1-Jul-16 1-Jan-17
126 dr. Garindra Wicaksono 011618116306 L Surabaya 17-Nov-84 FK UWK Perorangan 1-Jul-16 1-Jan-17
127 dr. Sunny Mariana samosir 011618116307 P Medan 1-May-88 FK UNAIR Perorangan 1-Jul-16 1-Jan-17
128 dr. Eka Sri Handayani 011618116308 P Medan 26-Jun-85 FK UNSYIAH Perorangan 1-Jul-16 1-Jan-17
129 dr. Fahrul riza 011618116309 L Pidie 7-Apr-86 FK UNSYIAH Perorangan 1-Jul-16 1-Jan-17
130 dr. Lutvia Hidayati 011618116310 P Surabaya 3-Jul-90 FK UNAIR Perorangan 1-Jul-16 1-Jan-17
131 dr. Dimarzsiana Dara Sjahruddin 011618116311 P Ujung Pandang 6-Dec-89 FK UKI Perorangan 1-Jul-16 1-Jan-17
132 dr. Amelia Sholikhah 011628116301 P Sidoarjo 19-Feb-89 FK UNAIR Perorangan 1-Jan-17 1-Jul-17
133 dr. Raden Muhammad Zulfan Jauhari 011628116302 L Pamekasan 20-Aug-85 FK UWK Depkes 1-Jan-17 1-Jul-17
134 dr. Claudia Magdalena Felisia Kurube 011628116303 P Sorong 14-May-89 FK UNHAS Perorangan 1-Jan-17 1-Jul-17
135 dr. Lenardo Ferryanto M Samadhi 011628116304 L Surabaya 3-Feb-89 FK UNAIR Perorangan 1-Jan-17 1-Jul-17
136 dr. Rizka Arifani 011628116305 P Jakarta 2-Jan-90 FK UNEJ Perorangan 1-Jan-17 1-Jul-17
137 dr. Vininsia Merry Laura 011628116306 P Jakarta 8-Feb-90 FK UKI Depkes 1-Jan-17 1-Jul-17
138 dr. Rayi Kurnia Perwitasari 011628116307 P Serabaya 8-Jun-89 FK UNBRA Perorangan 1-Jan-17 1-Jul-17
139 dr. Fauziah Pratiwi 011628116308 P Malang 26-Oct-87 FK UNBRA Perorangan 1-Jan-17 1-Jul-17
140 dr. Mega Malynda 011628116309 P Bangkalan 27-Apr-89 FK UWK Perorangan 1-Jan-17 1-Jul-17
141 dr. Ni Made Indah Dwijayanti Atmaja 011628116310 P Kupang 2-May-87 FK UWK Perorangan 1-Jan-17 1-Jul-17
142 dr. Muhammad Shofi Rafsyanjani 011628116311 L Surabaya 25-Sep-87 FK UNAIR Perorangan 1-Jan-17 1-Jul-17
143 dr. Martini 011628116312 P Jakarta 1-Mar-81 FK UK ATMAJAYA Perorangan 1-Jan-17 1-Jul-17
144 dr. Dedy Setiawan 011718116301 L Malang 28-Dec-81 FK UB Perorangan 1-Jul-17 1-Jan-18
145 dr. Rabiatul Adawiah 011718116302 P Samarinda 22-Oct-87 FK Univ. Mulawarman Perorangan 1-Jul-17 1-Jan-18
146 dr. Anak Agung Ngurah Krisna Putra 011718116303 L Denpasar 7-Sep-89 FK UNSRAT Perorangan 1-Jul-17 1-Jan-18
147 dr. Muqiemuddin Salim 011718116304 L Makassar 24-Dec-81 FK UNHAS Depkes 1-Jul-17 1-Jan-18
148 dr. Nurul Ima Suciwiyati 011718116305 P Sumenep 22-Nov-83 FK Univ. Yarsi Depkes 1-Jul-17 1-Jan-18
149 dr. Aldila Pratiwi 011718116306 P Surabaya 16-Apr-90 FK UB Depkes 1-Jul-17 1-Jan-18
150 dr. Rivans Jackson 011718116307 L Jakarta Barat 28-Jun-84 FK UNHAS Perorangan 1-Jul-17 1-Jan-18
11/1/2020 8:57
Keterangan
Karena melahirkan maka masuk 1 Juli 2012

PKM Demta Kab. Jayapura, Papua
RS Baladhika Husada Jember
PKM KTK, Solok, Sumatera Barat
PKM Damai Balikpapan
RS PGI Cikini, PTT Kab. Lingga, Kepulauan Riau
PKM Wini Kab.Timor Tengah Utara, NTT
RSUD Fakfak Papua Barat
Cuti: 1Jul-31Des'14 (Pendidikan tunda 1 semester) PKM Megang Dinkes Kota Lubuklinggau Sumsel
PKM Maligano Kab.Muna Sulawesi Tenggara
Klinik Kuncup Ceria Mojokerto
PKM Wates Kab.Kediri
PKM Sungai Kapih Samarinda
RS Royal Surabaya
PKM Kelumpang, Kota Baru, Kalsel
RSUD Namrolle Kep. Buru
PKM Patianrowo, Dinkesda Nganjuk
RSJ Menur Surabaya
RS Jasem Sidoarjo, RSAB Soerya
PKM Sarmi Papua
RS Mitra Medika Bondowoso
PKM Kayangan Kab. Lombok Utara
RS Yarsi Pontianak
RSUD Kab. Kediri
PKM Binangun Kab. Blitar
PKM Juanda Samarinda
Klinik Bhakti Husada Pramuka Cibubur
PKM Kusuri, Kec. Tobelo Barat, Kab. Halmahera Utara
RSUD Ia Moies, Kota Samarinda
RSUD Jendral Ahmad Yani, Kota Metro, Lampung
RSUD A.M. Parikesit Tenggarong
RSUD Kab. Manokwari, Papua Barat
RS TNI AD Brawijaya Tk.III
RSUD Yowari Jayapura
Puskesmas Nulle, TTS-NTT
Timika-Papua Jl.Ahmad Yani No.8/92, Timika-Papua

RSAL Dr.Ramelan Surabaya Jl.Kertajaya Indah VII/I G-422 Surabaya
PKM Arjasa Sumenep Dusun Wakaf Desa Arjasa Kec.Arjasa Sumenep
PKM Kab.Bangkalan Jl.Sutorejo Selatan 7-11, Surabaya
Kab.Pegunungan Bintang-Papua Jl.Gandawijaya No.74 Cimahi-Jawa Barat
Cuti: 1Jul-31Des'16 (Pendidikan tunda 1 semester)
RS Muhammadiyah Lamongan Purimas, Legian H7 No.6 Surabaya
Kab.Kaimana Papua Barat Dharmahusada Regency 515 Surabaya
RSUD Bangkalan Jl.Manyar Kertoadi IX/W-322, Surabaya
PKM Namrole Kamlanglale, Kecamatan Namrole, Kabupaten Buru Selatan, Maluku
PKM Balongbendo Sidoarjo Jl.Anggrek Terusan No.12 Wage Taman Sidoarjo
FAKULTAS KEDOKTERAN UNIVERSITAS AIRLANGGA
Daftar Lulusan PPDS

Periode 01 Januari 2005 s/d 31 Desember 2010
No Nama Lengkap (+title) Sex Tgl lahir Alumni S1 (FK) Status NIP/NPA/ Masuk MKDU Masuk PPDS
NIM Lk/Pr [hr] [bl] [th] Depkes/TNI/Polri NRP/….. [hr] [bl] [th] [hr] [bl] [th] Tanggal EL
1 I Ketut Alit Utamayasa,dr.
2 Maria Magdalena Sulistiowati Sastosa,dr.
3 Yustina Rosanti,dr.
4 Agus Salim,dr.
5 Tri Lestari Rahayu,dr.
6 Martono Tri Utomo
7 Trijuni Andiharti D,dr.
8 Haryudi Aji Cahyono,dr.
9 Cherly Gunawan,dr.
10 Satrio Boediman,dr.
11 Bagus Setyoboedi, dr. L 18-Aug-1969 FK UNAIR Depkes 140349202 1-Jan-2001 1-Jul-2000
12 Eko Sulistijono, dr. L 25-Jan-1970 FK UNAIR Swadana "-" 1-Jan-2001 1-Jul-2000
13 Retno Asih Setyoningrum, dr. P 26-Mar-1971 FK UNAIR Diknas 132230975 1-Jul-1999 1-Jan-1999
14 Retno Hernik Mulyati Andayani, dr. P 23-Feb-1967 FK UNAIR Pemda 640023223 1-Jan-2000 1-Jul-1999
15 Lukman Abdul Bafadal, dr. L 18-Apr-1965 FK UNAIR Swadana "-" 1-Jan-2000 1-Jul-1999
16 Mia Ratwita, dr. P 24-Jan-1973 FK UNAIR Diknas 132229722 1-Jul-1999 1-Jan-1999
17 Alfredo Hariadi, dr. L 27-Mar-1964 FK UGM Depkes 140247191 1-Jan-1999 1-Jul-1998
18 Roedi Djatmiko, dr. L 1-May-1967 FK UNAIR TNI 1910056770567 1-Jan-2000 1-Jul-1999
19 Mario Bernardinus Realino Nara, dr. L 11-Aug-1969 FK UNAIR Depkes 140350697 1-Jul-2000 1-Jan-2000
20 Boy Hariayadi, dr. L 21-Dec-1968 FK UNAIR Swadana "-" 1-Jan-2000 1-Jul-1999
21 M Nasiruddin, dr. L 31-Mar-68 FK UNAIR Swadana "-" 1-Jul-2000 1-Jan-01
22 Sony Tri Appendicky Kamil, dr. L 17-Dec-66 FK UNAIR Depkes 140337166 1-Jan-98 1-Jul-98
23 Ahmad Fauzin, dr. L 23-Apr-67 FK UNAIR Swadana "-" 1-Jul-99 1-Jan-00
24 Agung Nugroho Whidi, dr. L 25-Oct-67 FK UNAIR Depkes 140340903 1-Jul-99 1-Jan-00
25 Alpha Fardah Athiyyah, dr. P 23-Aug-73 FK UNAIR Diknas 132313484 1-Jul-99 1-Jan-00
26 Lusiana Kartininingsih, dr. P 31-Dec-73 FK UNAIR Swadana "-" 1-Jul-99 1-Jan-00
27 Anita Kartika Sari,dr. P 28-May-68 FK UNAIR Depkes 140349818 1-Jan-01 1-Jul-01
28 Rini Andri Astuti,dr. P 27-May-68 FK UNAIR Depkes 140344994 1-Jul-00 1-Jan-01
29 Muhammad Rizal Altway,dr. L 15-Apr-68 FK UWK Depkes 140352865 1-Jul-00 1-Jan-01
30 Dyah Retno Wulan,dr. P 12-Oct-69 FK UNAIR Depkes 140349819 1-Jul-00 1-Jan-01
31 Retno Wisanti P 1-Sep-66 FK UI TNI 30234912 1-Jan-01 1-Jul-01
32 Hartojo L 12-Mar-72 FK UNAIR Swadana "-" 1-Jan-01 1-Jul-01
33 Lisa Anggraini Subrata,dr. P 14-Jul-74 FK UNAIR Swadana "-" 1-Jul-02 1-Jan-03
34 Ahmad Yuniari Heryana,dr. L 16-Jun-74 FK UNAIR Diknas 132310815 1-Jan-01 1-Jul-01
35 Tri Dyah Rumanti,dr. P 18-May-69 FK UNIBRAW Swadana "-" 1-Jul-01 1-Jan-02
36 Lucia Pudiastuti Ratnaningtyas,dr. P 16-Jun-71 FK UNAIR Swadana "-" 1-Jan-02 1-Jul-02
37 Poernomo Ismoe Kartiko,dr. L 13-Apr-68 FK UNAIR Swadana "-" 1-Jul-01 1-Jan-02
38 Mira Irmawati,dr. P 16-Mar-75 FK UNIBRAW Swadana "-" 1-Jan-02 1-Jul-02
39 Maretha Sukmawardani,dr. P 3-Mar-75 FK UNAIR Swadana "-" 1-Jan-03 1-Jul-03
40 Irene Ratridewi,dr. P 24-Jun-73 FK UNIBRAW Swadana "-" 1-Jan-02 1-Jul-02
41 Dini Adityarini,dr. P 4-Mar-70 FK UNAIR Swadana "-" 1-Jan-02 1-Jul-02
42 Gede Utomo,dr. L 11-Jul-71 FK UNAIR Swadana "-" 1-Jan-01 1-Jul-01
43 Rachmanto Heryawan Surya A,dr. L 7-Feb-68 FK UNS TNI 32999 1-Jul-02 1-Jan-03
44 Dwiyanti Puspitasari,dr. P 16-Oct-74 FK UNAIR Swadana "-" 1-Jul-01 1-Jan-02

45 Wiyarni,dr. P 16-May-73 FK UNAIR Swadana "-" 1-Jul-03 1-Jul-03
46 Akira Prayudijanto,dr. L 8-Feb-72 FK UNIBRAW Swadana "-" 1-Jul-03 1-Jul-03
47 Risky Vitria Prasetyo,dr. P 14-Sep-77 FK UNAIR Swadana "-" 1-Jul-03 1-Jul-03
48 Zainuddin Hamidi,dr. L 12-Feb-68 FK UNAIR TNI 11930095430268 1-Jan-02 1-Jul-02
49 I Nyoman Sudiatmika,dr. L 16-Mar-75 FK UNAIR Depkes 140355703 1-Jan-02 1-Jul-02
50 Lita Siulan Tanang,dr. P 23-Nov-67 FK UWK Swadana "-" 1-Jul-01 1-Jan-02
51 Prastiya Indra Gunawan,dr. L 29-Apr-76 FK UNAIR Swadana "-" 1-Jul-03 1-Jan-04
52 Raihan,dr. P 10-Jun-68 FK Syiah Kuala AcSwadana "-" 1-Jul-02 1-Jan-03
53 Ivijanthi Meriastuti,dr. P 24-Mar-73 FK ATMAJAYA Swadana "-" 1-Jul-02 1-Jan-03
54 Edim Hartati,dr. P 16-Jan-68 FK UNIBRAW Swadana "-" 1-Jul-03 1-Jan-04
55 Zahrah Hikmah,dr. P 24-Apr-70 FK UNAIR Swadana "-" 1-Jan-04 1-Jul-04
56 Maria C Shanty,dr. P 5-Apr-74 FK UNAIR Swadana "-" 1-Jul-01 1-Jan-02
57 Rulik Rufiati,dr. P 31-Dec-75 FK UNAIR Depkes 140359683 1-Jul-03 1-Jan-04
58 Andy Darma,dr. L 15-Nov-71 FK UNAIR Swadana "-" 1-Jan-04 1-Jul-04
59 Nur Aisiyah Widjaja,dr. P 31-Dec-67 FK UWK Swadana "-" 1-Jan-04 1-Jul-04
60 Taufiqur Rachman,dr. L 1-Dec-71 FK UNAIR Swadana "-" 1-Jan-04 1-Jul-04
61 Bony Pramono,dr. L 29-Feb-76 FK UNAIR Swadana "-" 1-Jan-04 1-Jul-04
62 Deddy Iskandar,dr. L 11-Feb-74 FK UNAIR Swadana "-" 1-Jul-04 1-Jan-05
63 dr. Anas Yamien L 1-Apr-68 FK UNAIR Depkes 140350526 1-Jan-03 1-Jul-03
64 dr. Diana Amilia S P 18-Dec-75 FK UNAIR Swadana "-" 1-Jan-03 1-Jul-03
65 dr. Komang Ayu Witarini P 9-Jun-76 FK UNAIR Swadana "-" 1-Jan-03 1-Jul-03
66 dr. Aty Firsiyanti P 29-Jan-76 FK UNAIR Swadana "-" 1-Jan-04 1-Jul-04
67 dr. Roosnawati M P 3-Oct-64 FK UNAIR POLRI "030241441 1-Jul-04 1-Jan-05
68 dr. Amor Peraten G L 4-Dec-73 FK UNAIR Swadana "-" 1-Jul-04 1-Jan-05
69 dr. Virany Diana P 26-Aug-77 FK UNAIR Swadana "-" 1-Jul-04 1-Jan-05

70 dr. Ery Olivianto L 15-Sep-73 FK UNAIR Swadana "-" 1-Jan-05 1-Jul-05
71 dr. Annie Kusumadewi P 16-Feb-74 FK UNAIR Swadana "-" 1-Jan-05 1-Jul-05
72 dr. Hetty Listyandarini P 20-Apr-68 FK UNAIR TNI "1920048510468 1-Jul-04 1-Jan-05
73 dr. Anis Amiranti P 29-Jul-77 FK UNAIR Swadana "-" 1-Jan-05 1-Jul-05
74 dr. Dian Dwi Sary Mustika P 15-Feb-72 FK UNDIP Depkes 140355703 1-Jan-05 1-Jul-05
75 dr. Dyahris Koentartiwi P 8-Apr-74 FK UNIBRAW Swadana "-" 1-Jul-05 1-Jan-06
76 dr. Azwin Mengindra Putera L 14-Dec-78 FK UNAIR Swadana "-" 1-Jul-05 1-Jan-06
77 dr. Vitri Saktiwi P 1-Oct-75 FK UNAIR Swadana "-" 1-Jul-03 1-Jan-04
78 dr. Pramira Fitri P 14-Sep-77 FK UNAIR Swadana "-" 1-Jul-04 1-Jan-05
79 dr. Ariani Setiowati P 14-Sep-74 FK UNAIR Swadana "-" 1-Jul-05 1-Jan-06
80 dr. Lyly Ekawati Candra P 2-May-70 FK UNTAR Depkes 140360551 1-Jan-05 1-Jul-05
81 dr. Maftoechoel Chalim L 19-Nov-69 FK UGM Swadana "-" 1-Jan-05 1-Jul-05
82 dr. Neurinda Permata K P 12-Apr-79 FK UNAIR Swadana "-" 1-Jul-05 1-Jan-06
83 dr. Nur Rochmah P 29-Apr-79 FK UNAIR Swadana "-" 1-Jul-05 1-Jan-06
84 dr. Lisa Pangemanan P 10-Oct-78 FK UNAIR Swadana "-" 1-Jul-05 1-Jan-06 14-Mar-11
85 dr. Fatchoel Wahab L 13-Jul-70 FK UNAIR Swadana "-" 1-Jul-05 1-Jan-06 14-Mar-11
86 dr. Leny Kartina P 21-Apr-76 FK UNAIR Swadana "-" 1-Jan-06 1-Jul-06 14-Mar-11
87 dr. I Gusti Ngurah Twi A L 20-Jun-76 FK UNAIR Swadana "-" 1-Jan-06 1-Jul-06 14-Mar-11
88 dr. Marta Listijani Sigit P 15-Jan-79 FK UNIBRAW Swadana "-" 1-Jan-06 1-Jul-06 14-Mar-11
89 dr. Immaculata Purwaningsih P 1-Feb-73 FK UNAIR Depkes 140359602 1-Jan-05 1-Jul-05 27-Jun-11
90 dr. Arief Budiarto Asnar L 17-Jan-78 FK UHT Swadana "-" 1-Jan-06 1-Jul-06 27-Jun-11
91 dr. Arina Satyaningtyas P 22-Feb-76 FK UNAIR Swadana "-" 1-Jan-06 1-Jul-06 27-Jun-11
92 dr. Retno Wulandari P 25-Sep-73 FK UNAIR Swadana "-" 1-Jan-06 1-Jul-06 27-Jun-11
93 dr. Yunike Haway P 3-Jun-77 FK UNAIR Depkes 140365668 1-Jan-06 1-Jul-06 27-Jun-11
94 dr. Laksmi Suci Handini P 10-Aug-78 FK UNAIR Swadana "-" 1-Jan-05 1-Jul-05 10-Oct-11
95 dr. Saraswati Dewi P 25-Jun-70 FK UNIBRAW Depkes 140357415 1-Jul-05 1-Jan-06 10-Oct-11
96 dr. Endyt Purwandari P 13-Feb-77 FK UNDIP Swadana "-" 1-Jul-05 1-Jan-06 10-Oct-11
97 dr. Aminudin Harahap L 14-Sep-71 FK UNSRI TNI 13553/P 1-Jul-06 1-Jan-07 10-Oct-11
98 dr. Rudi Candra L 12-Jun-79 FK UISU Swadana "-" 1-Jul-09 1-Jan-10 10-Oct-11
99 dr. Helena Maria Maniboey 010481101 P 24-Jan-69 FK UNAIR Depkes 140349783 1-Jul-03 1-Jan-04 5-Mar-12
100 dr. Wahdini 010681104 P 10-Aug-69 FK UNSYIAH Depkes 140362356 1-Jul-05 1-Jan-06 5-Mar-12
101 dr. Tri Rachmadiyanto 010681105 L 9-May-70 FK UNAIR Depkes 140354915 1-Jul-05 1-Jan-06 5-Mar-12
102 dr. Maria Marcelina Wulandari 010681106 P 26-Feb-73 FK UNAIR Swadana "-" 1-Jul-05 1-Jan-06 5-Mar-12
103 dr. Sri Riyanti 010681112 P 1-Mar-70 FK UNAIR Depkes 140249492 1-Jul-05 1-Jan-06 5-Mar-12
104 dr. Dina Angelika 010781111 P 16-Jun-74 FK UNAIR Swadana "-" 1-Jan-07 1-Jul-07 18 Juni 2012
105 dr. Vita Dwi Wijayanti 010781101 P 20-Jan-79 FK UHT Swadana "-" 1-Jul-06 1-Jan-07 18 Juni 2012
106 dr. Ririn Wahyuningtyas T 010781116 P 28-Dec-78 FK UWK Swadana "-" 1-Jan-07 1-Jul-07 18 Juni 2012
107 dr. Budi Setiawan 010681115 L 23-Sep-70 FK UNPAD Swadana "-" 1-Jan-06 1-Jul-06 18 Juni 2012
108 dr. Budiyanto 010881101 L 26-Jun-77 FK UNAIR Pemda 540016186 1-Jul-07 1-Jan-08 18 Juni 2012
109 dr. Nailul Huda 010781103 P 10-Sep-75 FK UGM Swadana "-" 1-Jul-06 1-Jan-07 18 Juni 2012
110 dr. Titien Prastyaningtyas 010781110 P 9-Oct-74 FK UNAIR Perorangan "-" 1-Jul-06 1-Jan-07 01 Okt 2012
111 dr. Indah Sulistiyani 010781112 P 28-Nov-79 FK UNIBRAW Depkes 140367294 1-Jan-07 1-Jul-07 01 Okt 2012
112 dr. Enny Zuraida 010781113 P 6-May-79 FK UNAIR Perorangan "-" 1-Jan-07 1-Jul-07 01 Okt 2012
113 dr. Dewi Astasari 010781114 P 6-Aug-80 FK UNAIR Perorangan "-" 1-Jan-07 1-Jul-07 01 Okt 2012
114 dr. Vinny Yoana 010781117 P 10-Aug-81 FK UNAIR Perorangan "-" 1-Jan-07 1-Jul-07 01 Okt 2012
115 dr. Hendarti Praharaningsih 010781121 P 12-Jun-79 FK UNAIR Perorangan "-" 1-Jan-07 1-Jul-07 01 Okt 2012
116 dr. Kartika Darma Handayani 010881103 P 21-Mar-81 FK USAKTI Perorangan "-" 1-Jul-07 1-Jan-08 01 Okt 2012
117 dr. Zuhrotul Aini 010881105 P 26-Mar-74 FK UNAIR Pemda 510136677 1-Jul-07 1-Jan-08 01 Okt 2012
118 dr. Dwi Agustina 010581106 P 12-Aug-73 FK UNS Perorangan "-" 1-Jan-05 1-Jul-05 03 Des 2012
119 dr. Dwi Putri Lestari 010781108 P 19-Jun-80 FK UNAIR Perorangan "-" 1-Jul-06 1-Jan-07 03 Des 2012
120 dr. Bagus Samsu 010781115 L 27-Aug-81 FK UNAIR Perorangan "-" 1-Jan-07 1-Jul-07 03 Des 2012
121 dr. Dian Pratamastuti 010881102 P 20-Jan-80 FK UKI Perorangan "-" 1-Jul-07 1-Jan-08 03 Des 2012
122 dr. Faisal 010881106 L 23-Jan-78 FK UNSYIAH Pemda 390023308 1-Jul-07 1-Jan-08 03 Des 2012
123 dr. M.Risa Kurniawan 010881107 L 28-Jan-81 FK UNAIR Perorangan "-" 1-Jul-07 1-Jan-08 03 Des 2012
124 dr. Fadil Rulian 010881110 L 5-Dec-78 FK USU Pemda 430014098 1-Jan-08 1-Jul-08 8-Apr-13
125 dr. Hapsari Kusumawardani 010881104 P 3-Apr-81 FK USAKTI Perorangan "-" 1-Jul-07 1-Jan-08 8-Apr-13
126 dr. Rina Elizabeth 010881124 P 28-Jun-80 FK UKRIDA Perorangan "-" 1-Jan-11 1-Jul-11 8-Apr-13
127 dr. Kusdwijono 010781104 L 22-Jun-79 FK UHT Perorangan "-" 1-Jul-06 1-Jan-07 8-Apr-13
128 dr. Hanna Dyahferi Anomsari 010781105 P 2-Feb-79 FK UNAIR Perorangan "-" 1-Jul-06 1-Jan-08 8-Apr-13
129 dr. Herwina Brahmantya 010781106 P 7-Oct-80 FK UNIBRAW Perorangan "-" 1-Jul-06 1-Jan-07 3-Jun-13
130 dr. Sitti Radhiah 010781107 P 14-Sep-76 FK UNSYIAH Depkes 140363803 1-Jul-06 1-Jan-07 3-Jun-13
131 dr. Rizki Rohmadhoni Pikir 010781118 L 9-May-81 FK UNAIR Perorangan "-" 1-Jan-07 1-Jul-07 3-Jun-13
132 dr. Wiweka Merbawani 010881111 P 28-Jan-72 FK UNAIR Depkes 140363951 1-Jan-08 1-Jul-08 3-Jun-13
133 dr. Stephany Dwiastuti 010881112 P 3-Jan-83 FK UNAIR Perorangan "-" 1-Jan-08 1-Jul-08 3-Jun-13
134 dr. Ergia Latifolia 010881115 P 10-Dec-74 FK UNAIR Depkes 140364772 1-Jan-08 1-Jul-08 3-Jun-13
135 dr. Taufiq Hidayat 010981103 L 11-Nov-81 FK UNAIR Perorangan "-" 1-Jul-08 1-Jan-09 3-Jun-13
136 dr. Wennas 010981108 L 27-Jul-73 FK USAKTI Perorangan "-" 1-Jul-08 1-Jan-09 3-Jun-13
137 dr. Anggono Ratma AS 010981110 L 9-May-74 FK UHT Pemda 510146459 1-Jul-08 1-Jan-09 3-Jun-13
138 dr. Ari Setiawati 010781102 P 28-Mar-80 FK UNAIR Perorangan "-" 1-Jul-06 1-Jan-07 30-Sep-13
139 dr. Savitri Laksmi 010881109 P 8-Apr-75 FK UNIBRAW Perorangan "-" 1-Jan-08 1-Jul-08 30-Sep-13
140 dr. Noershanti Ramadhani 010881113 P 11-Jul-82 FK UNAIR Perorangan "-" 1-Jan-08 1-Jul-08 30-Sep-13
141 dr. Nyoman Indah Tri Utami 010881116 P 23-May-81 FK UNPAD Perorangan "-" 1-Jan-08 1-Jul-08 30-Sep-13
142 dr. Nugroho Danu Tri S 010981107 L 19-Mar-82 FK UNAIR Perorangan "-" 1-Jul-08 1-Jan-09 30-Sep-13
143 dr. Mahendra Tri Arif Sampurna 010981118 L 25-Jan-83 FK UNAIR Perorangan "-" 1-Jan-09 1-Jul-09 30-Sep-13
144 dr. Agus Cahyono 010981113 L 1-Jan-09 1-Jul-09 6-Jan-14

145 dr. Catarina Rani R 010981106 P 1-Jul-08 1-Jan-09 4-Apr-14
146 dr. Indah Musdalifah 010981109 P 1-Jul-08 1-Jan-09 4-Apr-14
147 dr. Ninik Ambarwati 010981115 P 1-Jan-09 1-Jul-09 4-Apr-14
148 dr. Lasmadu Suyanto 010981116 L 1-Jan-09 1-Jul-09 4-Apr-14
149 dr. Agus Ferdiansyah 010981117 L 1-Jan-09 1-Jul-09 4-Apr-14
150 dr. Andika Yudha Kristanto 010981120 L 1-Jan-09 1-Jul-09 4-Apr-14
151 dr. Irwina Rahma Andriani 010981101 P 1-Jul-08 1-Jan-09 21-Jul-14
152 dr. Bebi Muthia S 010981104 P 1-Jul-08 1-Jan-09 21-Jul-14
153 dr. Herlin Kristanti 010981105 P 1-Jul-08 1-Jan-09 21-Jul-14
154 dr. Debby Puspitasari 010981112 P 1-Jul-08 1-Jan-09 21-Jul-14
155 dr. Yusian Eri Fitria 010981114 P 1-Jan-09 1-Jul-09 21-Jul-14
156 dr. Andi Cahyadi 010981119 L 1-Jan-09 1-Jul-09 21-Jul-14
157 dr. Emmy Hayatun 010981121 P 1-Jan-09 1-Jul-09 21-Jul-14
158 dr. Arif Fakhrudin 010981122 L 1-Jan-09 1-Jul-09 21-Jul-14
159 dr. Prapti Dewi Suhirman 010981123 P 1-Jan-09 1-Jul-09 21-Jul-14
160 dr. Yunita Imtihani 010981126 P 1-Jul-09 1-Jan-10 21-Jul-14
161 dr. Oktavian Prasetia Wardana 010981130 P 1-Jul-09 1-Jan-10 21-Jul-14
162 dr. Sofia Wardhani 010981131 P 1-Jul-09 1-Jan-10 21-Jul-14
163 dr. Lukman Oktadianto 010981128 L 1-Jul-09 1-Jan-10 21-Jul-14
164 dr. Sherly Yuniarchan 010981134 P 1-Jul-09 1-Jan-10 2-Feb-15
165 dr. Meta Herdiana Hanindita 010981127 P 1-Jul-09 1-Jan-10 2-Feb-15
166 dr. Yuni Hisbiyah 010981150 P 1-Jan-10 1-Jul-10 12-May-15
167 dr. Robby Nurhariansyah 010981129 L 1-Jul-09 1-Jan-10 12-May-15
168 dr. Antonius Tarigan 010981135 L 1-Jul-09 1-Jan-10 12-May-15
169 dr. Mangihut Rumiris Manulang 010981136 P 1-Jul-09 1-Jan-10 12-May-15
170 dr. Sri Sumei 010981132 P 1-Jul-09 1-Jan-10 12-May-15
171 dr. Rofi Budiyanto 010881108 L 1-Jul-07 1-Jan-08 12-May-15
172 dr. Erwina Mei Astuti 010981142 P 1-Jan-10 1-Jul-10 12-May-15
173 dr. Edga Dripayanti Armina 010981144 1-Jan-10 1-Jul-10 13-Aug-15
174 dr. Meiliza Madona 010981151 1-Jan-10 1-Jul-10 13-Aug-15
175 dr. Debora Shinta Liana 010981149 1-Jan-10 1-Jul-10 13-Aug-15
176 dr. Lini Delina 010981102 1-Jul-08 1-Jan-09 13-Aug-15
177 dr. Putu Dian Saraswati 011081119 1-Jan-11 1-Jul-11 16-Nov-15
178 dr. Deanty Ayu Putri Anggraeni 010981143 1-Jan-10 1-Jul-10 16-Nov-15
179 dr. Nazara Agustina 010981146 1-Jan-10 1-Jul-10 16-Nov-15
180 dr. Jean Peter Siregar 011218116312 1-Jul-12 1-Jan-13 16-Nov-15
181 dr. Areta Idarto 011081106 1-Jul-10 1-Jan-11 25-Jan-16
182 dr. I Dewa Ayu Agung Shinta Kamaya011081112 1-Jan-11 1-Jul-11 25-Jan-16
183 dr. Berlian Beatrix Rarome 011081117 1-Jan-11 1-Jul-11 25-Jan-16
184 dr. Yeni Kusumawati 011081102 1-Jul-10 1-Jan-11 25-Jan-16
185 dr. Hidayati Utami 010981133 1-Jul-09 1-Jan-10 25-Jan-16
186 dr. Ahmad Mahfur 11081110 1-Jul-10 1-Jan-11 18-Apr-16
187 dr. Hakimah Maimunah 11081121 1-Jan-11 1-Jul-11 18-Apr-16
188 dr. Abdul Haris Khoironi 10981147 1-Jan-10 1-Jul-10 18-Apr-16
189 dr. Stephany Adriany 010981145 P 21-Feb-77 FK UNIBRAW Pemda 197702212006042006 1-Jan-10 1-Jul-10 27-Jul-16
190 dr. Nurul Yudhi Prihastuty 011081108 P 30-Apr-74 FK UNAIR Pemda 510145123 1-Jul-10 1-Jan-11 27-Jul-16
191 dr. Heru Setiawan 011081118 L 22-May-82 FK UNAIR Depkes 198205222010011014 1-Jan-11 1-Jul-11 27-Jul-16
192 dr. Natalia Kristanti Nugraheni 011081116 P 26-Dec-76 FK UHT Pemda 197612262005012019 1-Jan-11 1-Jul-11 27-Jul-16
193 dr. Ilham Bondan 011081120 L 26-Nov-80 FK UNAIR Perorangan 1710040349 1-Jan-11 1-Jul-11 19-Oct-16
194 dr. Luty Dyah Prahmani 011081122 P 24-Jan-83 FK UNAIR Perorangan "-" 1-Jan-11 1-Jul-11 19-Oct-16
195 dr. Siti Nurazizah 011081123 P 1-Apr-82 FK UNAIR Depkes 198104012008022001 1-Jan-11 1-Jul-11 19-Oct-16
196 dr. Ajeng Indriastari 011418116312 P 14-Mar-83 FK TRISAKTI Adaptasi "-" 1-Jul-14 1-Jan-15 19-Oct-16
197 dr. Desi Primayani 011181110 P 20-Dec-78 FK UNAIR Perorangan "-" 1-Jul-11 1-Jan-12 18/01/2016
198 dr. Nurita Alami 011181111 P 24-Dec-83 FK UNAIR Perorangan "-" 1-Jul-11 1-Jan-12 18/01/2016
199 dr. Yudhi Kurniawan 011181108 L 7-Jun-81 FK U. Baiturrahma Pemda "-" 1-Jul-11 1-Jan-12 18/01/2016
200 dr. Djuhdi Husnuddin 011081104 L 22-Apr-84 FK UNAIR Perorangan "-" 1-Jul-10 1-Jan-11 18/01/2016
201 dr. Theresa Laura 011181106 P 19-Jul-82 FK UNAIR Depkes "-" 1-Jul-11 1-Jan-12 18/01/2016
202 dr. Devi Emawanti 011081111 P 22-Jun-75 FK UNAIR TNI 11020023650675 1-Jan-11 1-Jul-11 18/01/2016
203 dr. Pherenice Charisti 011181102 P 29-Jul-83 FK UNIBRAW Perorangan "-" 1-Jul-11 1-Jan-12 18/01/2016
204 dr. Rafiqa Rais Akbar 011081113 P 18-Aug-82 FK UNHAS Depkes 198218082009092003 1-Jan-11 1-Jul-11 18/01/2016
205 dr. Laily Mufidah 011081109 P 8-Feb-82 FK UNAIR Depkes "-" 1-Jul-10 1-Jan-11 18/01/2016
206 dr. Yuli Nurhidayati 011181109 P 18-Jul-78 FK UNAIR TNI "-" 1-Jul-11 1-Jan-12 18/01/2016
207 dr. Susilo Pambudi 010981111 L 14-Sep-76 FK UNAIR Pemda 510142969 1-Jul-08 1-Jan-09 20/04/2017
208 dr. Kristina Natalia Marbun 011081114 P 14-Dec-78 FK UKI Depkes 197812142006042003 1-Jan-11 1-Jul-11 20/04/2017
209 dr. Santi Faradilla 010981125 P 14-Apr-74 FK UNSYIAH Depkes 140363730 1-Jul-09 1-Jan-10 20/04/2017
210 dr. Dian Purnama Sari 011181120 P 27-Aug-86 FK UDAYANA Depkes "-" 1-Jan-12 1-Jul-12 20/04/2017
211 dr. Adrianus Harry Seputra 011081105 L 21-Dec-84 FK UNAIR Perorangan "-" 1-Jul-10 1-Jan-11 01/08/2017
212 dr. Wahyu Wibowo 011081101 L 20-Nov-76 FK UNAIR Perorangan "-" 1-Jul-10 1-Jan-11 01/08/2017
213 dr. Muhamad Kahfi 011081107 L 1-Sep-78 FK USAKTI Perorangan "-" 1-Jul-10 1-Jan-11 01/08/2017
214 dr. Septria Erlitarini Sudjito 011081115 P 3-Sep-82 FK UNAIR Perorangan "-" 1-Jan-11 1-Jul-11 01/08/2017
215 dr. Riza Noviandi 011181113 L 5-Nov-85 FK UNAIR Perorangan "-" 1-Jan-12 1-Jul-12 01/08/2017
216 dr. Nia Nurul Azizah 011181119 P 12-Jun-76 FK USAKTI Perorangan "-" 1-Jan-12 1-Jul-12 01/08/2017
217 dr. Octavianus Eka Saputra 011181107 L 10/26/1978 FK UNAIR Perorangan "-" 1-Jul-11 1-Jan-12 17/10/2017
Lulus EN tempuh ketepatan NILAI EN Lama Ketepatan
[hr] [bl] [th] semester waktu lulus CUTI KOLEGIUM Proposal Karya Akhir NILAI Tesis Penyelesaian
(Bln) Tesis (4 bln)
mulai pddk (- 10 semester) (BULAN) KARYA AKHIR (lebih bulan)
Mar-04
Mar-04
Mar-04
Mar-04
Mar-04
Mar-04
Jun-04
Jun-04
Jun-04
Jun-04
Feb-05 10 1
Feb-05 10 1
Feb-05 12 3
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Feb-05 12 3
Feb-05 12 3
Feb-05 14 5
Feb-05 12 3
Feb-05 10 1
Jan-06 14 5
Jan-06 10 1
Jan-06 16 7
Jan-06 12 3
Jan-06 12 3
Jan-06 12 3
Jan-06 12 3
Jun-06 10 1
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Dec-06 10 1
Dec-06 10 1
Dec-06 10 1
May-07 9 0
May-07 12 3
May-07 11 2
May-07 10 1
Ags 2007 12 3
Ags 2007 11 2
Ags 2007 9 0
Ags 2007 11 2
Ags 2007 11 2
Ags 2007 13 4
Ags 2007 10 1
Dec-07 12 3
Dec-07 9 0
Dec-07 9 0
Dec-07 9 0
Dec-07 11 2
Dec-07 11 2
Oct-08 14 5
Oct-08 10 1
Jan-09 11 2 5-Jun-08 20-Nov-08 6 2
Jan-09 11 2 29-Jan-08 13-Nov-08 10 6
Jan-09 11 2 5-Feb-08 11-Nov-08 9 5
Jan-09 10 1 26-May-08 14-Oct-08 5 1
Apr-09 15 6 8-Jan-09 5-Feb-09 1 -3
Apr-09 11 2 30-Oct-08 4-Feb-09 3 -1
Apr-09 10 1 17-Dec-08 29-Jan-09 1 -3
Apr-09 10 1 2-Dec-08 22-Jan-09 2 -2
Apr-09 10 1 12-Aug-08 27-Nov-08 4 0
Apr-09 10 1 16-Sep-08 3-Feb-09 5 1
Apr-09 9 0 4-Dec-08 15-Jan-09 1 -3
Dec-09 13 4 28 Aprl 2009 16-Sep-09 5 1
Dec-09 13 4 19 Mei 2009 15 Okt 2009 5 1
Dec-09 13 4 26 Peb 2009 19 Okt 2009 8 4
Dec-09 11 2 17 Peb 2009 30 Juni 2009 4 0
Dec-09 10 1 12 Mei 2009 16 Okt 2009 5 1
Dec-09 10 1 18 Mei 2009 29-Sep-09 4 0
Dec-09 10 1 28 Mei 2009 17-Sep-09 4 0

Dec-09 9 0 24 Peb 2009 21 Juli 2009 5 1
Dec-09 9 0 22 Juni 2009 30-Sep-09 3 -1
08 Februari 2010 11 2 31 Agst 2009 21 Okt 2009 2 -2
08 Februari 2010 10 1 11 Mei 2009 04 Nop 2009 6 2
08 Februari 2010 10 1 1 Okt 2009 10 Des 2009 2 -2
9-Aug-10 10 1 23 Juli 2009 8 Juni 2010 11 7
9-Aug-10 10 1 28-Jan-10 26 Mei 2010 4 0
22 November 2010 14 5 6-Apr-10 6-Sep-10 5 1
22 November 2010 12 3 20-Apr-10 5 Okt 2010 6 2
22 November 2010 10 1 9 Mei 2010 12 Okt 2010 5 1
22 November 2010 11 2 6-Jan-10 14 Okt 2010 9 5
22 November 2010 11 2 4 Peb 2010 7 Okt 2010 8 4
22 November 2010 10 1 21-Jan-10 1-Sep-10 8 4
22 November 2010 10 1 1 Peb 2010 2-Sep-10 7 3
18-Apr-11 11 2 28 Okt 2010 26-Jan-11 3 -1
18-Apr-11 11 2 19 Okt 2010 13-Jan-11 3 -1
18-Apr-11 10 1 5 Ags 2010 9 Peb 2011 6 2
18-Apr-11 10 1 26 Okt 2010 7 Peb 2011 4 0
18-Apr-11 10 1 11 Mei 2010 21 Des 2010 7 3
25 Juli 2011 13 4 13 Des 2010 1 Juni 2011 6 2
25 Juli 2011 11 2 18-Jan-11 30 Mei 2011 4 0
25 Juli 2011 11 2 23 Nop 2010 31-Mar-11 4 0
25 Juli 2011 11 2 23 Des 2010 9 Mei 2011 5 1
25 Juli 2011 11 2 11-Jan-11 31 Mei 2011 4 0
07-Nov-11 13 4 6-Jan-11 15 Agustus 2011 7 3

07-Nov-11 12 3 16 Des 2010 22 Juni 2011 6 2
07-Nov-11 12 3 21 Juli 2011 12-Sep-11 2 -2
07-Nov-11 10 1 3 Mei 2011 22-Aug-11 3 -1
07-Nov-11 4 -5 24 Mei 2011 18-Aug-11 3 -1
2-Apr-12 17 8 22 Ags 2011 25-Jan-12 5 1
2-Apr-12 13 4 21-Apr-11 13 Okt 2011 6 2
2-Apr-12 13 4 7 Juni 2011 27-Sep-11 3 -1
2-Apr-12 13 4 16 Juni 2011 15 Des 2011 6 2
2-Apr-12 13 4 16 Ags 2011 12 Des 2011 4 0
16 Juli 2012 10 1 8 Des 2011 10-Apr-12 4 0
16 Juli 2012 11 2 5 Des 2011 10 Mei 2012 5 1
16 Juli 2012 10 1 21-Jan-12 14 Mei 2012 4 0
16 Juli 2012 12 3 24-Nov-11 15 Mei 2012 6 2
16 Juli 2012 9 0 2-Feb-12 16 Mei 2012 3 -1
16 Juli 2012 11 2 9-Feb-12 24 Mei 2012 3 -1
29 Okt 2012 12 3 23-Feb-12 14 Ags 2012 6 2
29 Okt 2012 11 2 22 Mei 2012 31 Juli 2012 2 -2
29 Okt 2012 11 2 29 Maret 2012 28 Juni 2012 3 -1
29 Okt 2012 11 2 20 Maret 2012 26 Juni 2012 3 -1
29 Okt 2012 11 2 8 Mei 2012 24 Juli 2012 2 -2
29 Okt 2012 11 2 15 Maret 2012 13 Juli 2012 4 0
29 Okt 2012 10 1 19-Apr-12 18 Juli 2012 3 -1
29 Okt 2012 10 1 7 Maret 2012 11 Juli 2012 4 0
7-Jan-13 15 5 29-Feb-12 22-Oct-12 8 4
7-Jan-13 12 2 3-Jul-12 1-Nov-12 4 0

7-Jan-13 11 1 29-May-12 11-Oct-12 5 1
7-Jan-13 10 0 12-Apr-12 17-Sep-12 5 1
7-Jan-13 10 0 26-Apr-12 19-Sep-12 5 1
7-Jan-13 10 0 21-Jun-12 25-Sep-12 3 -1
6-May-13 10 0 13-Nov-12 29-Jan-13 3 -1
6-May-13 11 1 20-Sep-12 19-Feb-13 5 1
6-May-13 4 -6 6-Nov-12 22-Jan-13 3 -1
6-May-13 13 3 14-Jun-12 30-Oct-12 5 1
6-May-13 11 1 3-Apr-12 5-Feb-13 10 6
1-Jul-13 13 3 12-Jan-12 22-Apr-13 16 12
1-Jul-13 13 3 13-Sep-12 30-Apr-13 8 4
1-Jul-13 12 2 11-Apr-13 20-May-13 1 -3
1-Jul-13 10 0 16-Apr-13 15-May-13 1 -3
1-Jul-13 10 0 27-Nov-12 29-Apr-13 5 1
1-Jul-13 10 0 17-Apr-13 13-May-13 1 -3
1-Jul-13 9 -1 12-Apr-13 20-May-13 1 -3
1-Jul-13 9 -1 18-Apr-13 14-May-13 1 -3
1-Jul-13 9 -1 5-Nov-12 10-Apr-13 5 1
5-Oct-13 14 4 11-Jul-13 10-Sep-13 2 -2
5-Oct-13 11 1 22-Jul-13 11-Sep-13 2 -2
5-Oct-13 11 1 29-Jul-13 12-Sep-13 2 -3
5-Oct-13 11 1 24-Jul-13 9-Sep-13 2 -2
5-Oct-13 10 0 9-Apr-13 5-Jun-13 2 -2
5-Oct-13 9 -1 11-Dec-12 27-Jun-13 7 3
25-Jan-14 9 -1 18-Jul-13 26-Nov-13 4 0

28-Apr-14 11 1 23-May-13 4-Mar-14 10 6
28-Apr-14 11 1 6-Feb-14 27-Mar-14 2 -2
28-Apr-14 10 0 22-Jan-14 26-Mar-14 2 -2
28-Apr-14 10 0 31-Dec-13 25-Mar-14 3 -1
28-Apr-14 10 0 24-Dec-13 24-Mar-14 3 -1
28-Apr-14 10 0 23-Dec-13 14-Mar-14 3 -1
11-Aug-14 12 2 2.83 Monday, January 20, 2014 Monday, June 23, 2014 5 1
11-Aug-14 12 2 2.97 Monday, January 27, 2014 Thursday, March 20, 2014 2 -2
11-Aug-14 12 2 2.97 Tuesday, February 18, 2014 Thursday, June 26, 2014 4 0
11-Aug-14 12 2 3.41 Monday, January 06, 2014 Tuesday, July 01, 2014 6 2
11-Aug-14 10 0 2.81 Monday, December 30, 2013 Wednesday, March 19, 2014 3 -1
11-Aug-14 10 0 3.58 Wednesday, February 26, 2014 Tuesday, June 03, 2014 3 -1
11-Aug-14 10 0 2.95 Tuesday, January 28, 2014 Tuesday, May 20, 2014 4 0
11-Aug-14 10 0 3.40 Thursday, February 20, 2014 Tuesday, June 24, 2014 4 0
11-Aug-14 10 0 3.56 Monday, February 24, 2014 Monday, June 30, 2014 4 0
11-Aug-14 9 -1 3.05 Thursday, February 13, 2014 Thursday, July 03, 2014 5 1
11-Aug-14 9 -1 3.18 Tuesday, February 11, 2014 Wednesday, July 02, 2014 5 1
11-Aug-14 9 -1 3.22 Wednesday, February 12, 2014 Thursday, June 19, 2014 4 0
11-Aug-14 9 -1 2.75 Monday, January 13, 2014 Wednesday, April 23, 2014 3 -1
21-Feb-15 11 1 Thursday, October 16, 2014 Thursday, December 18, 2014 2 -2
21-Feb-15 11 1 Wednesday, June 12, 2013 Wednesday, May 28, 2014 12 8
23-May-15 10 0 3.90 Wednesday, August 20, 2014 Tuesday, April 07, 2015 8 4
23-May-15 11 1 3.70 Tuesday, June 17, 2014 Friday, March 06, 2015 9 5
23-May-15 11 1 3.30 Thursday, October 30, 2014 Thursday, March 19, 2015 5 1
23-May-15 11 1 3.30 Tuesday, November 04, 2014 Wednesday, April 15, 2015 5 1
23-May-15 11 1 3.30 Monday, October 06, 2014 Thursday, March 19, 2015 5 1
23-May-15 15 5 2.80 Thursday, January 16, 2014 Thursday, April 16, 2015 15 11
23-May-15 10 0 2.90 Monday, December 15, 2014 Tuesday, April 07, 2015 4 0
30-Aug-15 11 1 3.31 24-Feb-15 8-Jun-15 3 -1
30-Aug-15 11 1 3.29 18-Mar-15 8-Jul-15 4 0
30-Aug-15 11 1 3.16 17-Nov-14 16-Jun-15 7 3
30-Aug-15 14 4 2.78 17-Mar-15 30-Jul-15 5 1
29-Nov-15 9 -1 3.13 16-Feb-15 8-Oct-15 8 4
29-Nov-15 11 1 3.05 25-Nov-14 13-Oct-15 11 7
29-Nov-15 11 1 2.81 2-Dec-14 12-Oct-15 10 6
29-Nov-15 6 -4 2.75 20-Apr-15 15-Oct-15 6 2
20-Feb-16 11 1 3.07 3-Dec-14 8-Oct-15 10 6
20-Feb-16 10 0 2.94 22-Feb-15 23-Dec-15 10 6
20-Feb-16 10 0 2.76 18-Feb-15 22-Dec-15 10 6
20-Feb-16 11 1 2.92 20-Nov-14 15-Aug-15 9 5
20-Feb-16 13 3 2.88 27-May-15 29-Oct-15 5 1
14-May-16 11 1 3.45 21-Apr-15 14-Jan-16 9 5
14-May-16 10 0 3.01 28-Apr-15 7-Mar-16 10 6
14-May-16 12 2 3.07 13-May-15 8-Mar-16 10 6
28-Aug-16 13 3 2.07 24-Aug-15 16-Mar-16 7 3
28-Aug-16 12 2 3.07 11-Dec-14 17-Mar-16 15 11
28-Aug-16 11 1 3.42 4-Feb-15 15-Jun-16 17 13
28-Aug-16 11 1 3.00 1-Apr-15 16-Jun-16 15 11
20-Nov-16 11 1 3.00 17-Sep-15 3-Aug-16 11 7
20-Nov-16 11 1 3.60 15-Sep-15 26-Sep-16 13 9
20-Nov-16 11 1 3.50 15-Jun-15 27-Sep-16 16 12
20-Nov-16 4 -6 3.30 3-Jun-16 9-Sep-16 3 -1
19-Feb-17 11 1 3.41 21-Oct-15 29-Nov-16 AB 13.5 10
19-Feb-17 11 1 3.30 28-Sep-15 16-Nov-16 AB 13.833 10
19-Feb-17 11 1 3.29 12-Nov-15 19-Dec-16 AB 13.433 9
19-Feb-17 13 3 3.26 12-Mar-15 20-Jun-16 A 15.533 12
19-Feb-17 11 1 3.22 26-Nov-15 4-Jan-17 AB 13.5 10
19-Feb-17 12 2 3.17 29-Jun-16 26-Oct-16 B 3.9667 0
19-Feb-17 11 1 3.16 14-Sep-16 3-Jan-17 AB 3.7 0
19-Feb-17 12 2 3.05 22-Sep-15 5-Jan-17 A 15.7 12
19-Feb-17 13 3 3.01 9-Jul-15 14-Dec-16 AB 17.467 13
19-Feb-17 11 1 2.99 21-Sep-15 15-Nov-16 AB 14.033 10
14-May-17 17 7 2.79 19-Feb-14 31-Jan-17 B 35.9 32
14-May-17 12 2 2.78 10-Feb-16 15-Mar-17 AB 13.3 9
14-May-17 15 5 2.86 8-Jun-16 16-Mar-17 B 9.3667 5
14-May-17 10 0 3.36 19-May-16 20-Mar-17 AB 10.167 6
3-Sep-17 14 4 3.01 5-Feb-15 15-Jun-17 B 28.7 25
3-Sep-17 14 4 2.86 8-Oct-15 19-Jun-17 AB 20.667 17
3-Sep-17 14 4 2.80 7-Jul-15 7-Jul-17 B 24.367 20
3-Sep-17 13 3 3.07 2-May-16 13-Jul-17 AB 14.567 11
3-Sep-17 11 1 2.81 1-Jun-16 13-Jun-17 AB 12.567 9
3-Sep-17 11 1 2.83 1-Apr-16 21-Jun-17 A 14.867 11
11/19/2017 12 2 3.47 24-May-16 2-Oct-17 AB 16.533 13
Ketepatan
Lulus 9 smt
WKDS
(lebih bulan)
2
#VALUE!
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5
4
-4 Adaptasi
#VALUE!
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4
3
-4 Adaptasi
1
3
3
2
2
2
2
3
3
3
3
2
2
2
2
2
1
1
1
1
2
2
2
3
3
3
3
7
2
2
2
2
6
1
3
3
-2 Adaptasi
2
1
1
2
4
3
2
4
5
4
2
2
3
3
3
-4 Adaptasi
2
2
2
4
2
3
2
3
4
2
9
4
7
2
6 RSUD Asem Bagus Kab. Situbondo 12 Bulan
6 RSU Piru Kab. Seram Bagian Barat 12 Bulan
6 RSUD Banda Kab. Maluku Tengah 12 Bulan
5 RSUD Dr. P.P. Magretti Saumlaki Kab. Maluku Tenggara Barat 12 Bulan
3 RSUD Teluk Wondama Kab. Teluk Wondama 12 Bulan
3
4
FAKULTAS KEDOKTERAN
UNIVERSITAS AIRLANGGA
Daftar Staf Pengajar
Per Juli 2011
No Nama Lengkap (+title) Sex Tgl lahir Umur Status Pangkat/ NIP NIP
Lk/Pr [hr] [bl] [th] (Thn) Diknas/ Jabatan/Gol * (BARU)
Depkes/ …
1 Prof.H.Bambang Permono, dr, SpA(K) L 23-May-1943 77 DIKNAS Pembina Utama Madya-IV/d - Guru Besar 130350722
2 Prof.Dr.Soegeng Soegijanto dr,DTM&H,Sp.A(K) L 16-Apr-1941 80 DIKNAS Pembina Utama-IV/e - Guru Besar 140047022
3 Prof.Hj.Sylviati M.Damanik,dr.,Sp.A(K) P 30-Apr-1941 80 DIKNAS Pembina Utama-IV/e - Guru Besar 130345892
4 Prof.Moersintowarti Bagus Narendra,dr.,MSc.,Sp.A(K) P 3-Feb-1943 78 DIKNAS Pembina Utama-IV/e - Guru Besar 130350721
5 Prof.Dr.H.Boerhan Hidajat,dr.,Sp.A(K) L 1-Apr-1944 77 DIKNAS Pembina Tingkat I- IV/b - Guru Besar 130350723
6 Prof.Parwati Setiono Basuki,dr.,DTM&H,MSc.,Sp.A(K) P 21-Mar-1946 75 DIKNAS Pembina Utama Madya-IV/d - Guru Besar 130359288
7 Prof.Dr.Ismoedijanto,dr.,DTM&H.,Sp.A(K) L 11-Nov-1942 78 DIKNAS Pembina Utama Madya-IV/d - Guru Besar 144049610
8 Prof.Dr.H.Subijanto Marto Sudarmo,dr.,Sp.A(K) L 10-Jun-1948 72 DIKNAS Pembina Utama Muda - IV/c - Guru Besar 130517183
9 Prof.Mohammad Sjaifullah Noer.,dr.,Sp.A(K) L 18-May-1945 76 DIKNAS Pembina Tingkat I-IV/b - Guru Besar 130423075
10 Netty Harjantien,dr.,Sp.A(K) P 12-Sep-1949 71 DIKNAS Pembina Utama Muda-IV/c - Lektor Kepala 130610747
11 Prof.Dr.H.Teddy Ontoseno,dr.,Sp.A(K),Sp.JP,FIHA L 16-Dec-1950 70 DIKNAS Pembina Utama Madya IV/d - Guru Besar 130610118
12 Prof.Darto Saharso,dr.,Sp.A(K) L 10-Aug-1950 70 DIKNAS Pembina Utama Madya IV/d - Guru Besar 130610116
13 Dr.H.Arijanto Harsono,dr.,Sp.A(K) L 3-Jul-1946 74 DEPKES Pembina Utama Muda-IV/c - Guru Besar 140055949
14 Hj.Fatimah Indarso dr.,Sp.A(K) P 27-Jul-1948 72 DEPKES Pembina Utama Muda-IV/c - Lektor Kepala 140061920
15 H.Abdul Latief Azis,dr.,Sp.A(K) L 10-Jan-1947 74 DEPKES Pembina Utama Muda-IV/c - Lektor Kepala 140059371
16 H.Sjamsul Arief dr.,MARS,Sp.A(K) L 3-Mar-1951 70 DEPKES Pembina Utama Muda-IV/c - Lektor Kepala 140077791
17 Widodo Darmowandowo dr.,Sp.A(K) L 30-Dec-1946 74 DEPKES Pembina Tingkat I-IV/b - Lektor Kepala 140061924
18 Agus Harianto dr.,Sp.A(K) L 11-Aug-1950 70 DEPKES Pembina Utama Madya-IV/d - Lektor Kepala 140092458
19 I.Dewa Gede Ugrasena dr.,Sp.A(K) L 21-Dec-1956 64 DEPKES Pembina- IV/a - Lektor Kepala 140166090
20 Niniek Asmaningsih Soemiarso,dr.,Sp.A(K),MM.Paed. P 21-Feb-1955 66 DEPKES Pembina-IV/a 140137238
21 Ira Dharmawati,dr.,Sp.A P 30-Dec-1958 62 DEPKES Penata Tingkat I-III/d - Lektor 140187751
22 Siti Nurul Hidayati,dr.,Sp.A(K), M.Kes. P 23-Oct-1953 67 DEPKES Pemb. Tingkat I-IV/b 140120883
23 I.Gusti Made Reza Gunadi Ranuh dr.,Sp.A L 5-Nov-1960 60 DEPKES Pembina-IV/a 140207231
24 H.Machrus A.Rachman,dr.,Sp.A(K) L 13-Dec-1959 61 DEPKES Penata-III/c 140206889
25 Risa Etika,dr.,Sp.A P 3-Jul-1959 61 DEPKES Pembina-IV/a 140203450
26 Roedi Irawan dr.,Sp.A(K),M.Kes L 17-Jan-1958 63 DEPKES Pembina-IV/a 140187986
27 Landia Setiawati dr.,Sp.A(K) P 21-Sep-1959 61 DEPKES Penata-III/c 140191049
28 Dr.Anang Endaryanto,dr.,Sp.A(K) L 23-Apr-1963 58 DEPKES Penata-III/c 140223620
29 Muhammad Faizi dr.,Sp.A L 27-May-1965 55 DEPKES Penata Tingkat I-III/d - Lektor 140246046
30 Hari Kushartono dr.,Sp.A(K) L 27-May-1964 56 DEPKES Penata-III/c - Lektor 140255154
31 Irwanto dr.,Sp.A L 27-Feb-1965 56 DEPKES Pembina-IV/a - Lektor 140251646
32 Achmad Suryawan dr.,Sp.A(K) L 9-Jan-1967 54 DEPKES Penata-III/c - Lektor 140328040
33 Martono Tri Utomo dr.,Sp.A L 26-Jan-1973 48 DIKNAS Penata-III/c - Lektor 132230978
34 Retno Asih Setyoningrum dr.,Sp.A P 26-Mar-1971 50 DIKNAS Penata - III/c - Lektor 132230975
35 Mia Ratwita Andarsini dr.,Sp.A P 24-Jan-1973 48 DIKNAS Penata-III/c - Lektor 132229722
36 Satrio Boediman dr.,Sp.A L 22-Jun-1962 58 DEPKES Penata Muda Tk.I-III/b 140228588
37 Sulaiman Isa,dr.,Sp.A L DEPKES Pembina Tingkat I-IV/b 140056721
38 Bagus Setioboedi,dr.,Sp.A L 18-Aug-1969 51 DEPKES Penata-III/c 140349202
39 Dominicus Husada,dr.,Sp.A L 4-Aug-1967 53 DEPKES Penata Muda Tk.I-III/b 140324090
40 Alpha Fardah A,dr.,Sp.A P 23-Aug-1973 47 DIKNAS Penata Muda-III/a 132313484
41 Achmad Yuniari Heryana,dr.,Sp.A L 16-Jun-1974 46 DIKNAS Penata-III/c 132310815
42 I Ketut Alit Utamayasa,dr.,Sp.A L 1-Dec-1966 54 DEPKES Penata Muda Tk.I-III/b 140322768
43 Mira Irmawati,dr.,Sp.A P 16-Mar-1975 46 DIKNAS Penata Muda Tk.I-III/b 19750316 200904 2 003
44 Dwiyanti Puspitasari,dr.,Sp.A P 16-Oct-1974 46 DIKNAS Penata Muda Tk.I-III/b 132325863
45 Risky Vitria Prasetyo,dr.,Sp.A P 14-Sep-1977 43 DIKNAS Penata Muda Tk.I-III/b 19770914 200801 2 012
46 Prastia Indra Gunawan,dr.,Sp.A L Penata Muda Tk.I-III/b 19760429 200912 1 001
47 Deddy Iskandar,dr.,SpA L "-" "-"
48 Maria C Shanty Larasati,dr.,SpA P "-" "-"
49 Nur Aisiyah Widjaja,dr.,SpA P "-" "-"
50 Andy Darma,dr.,SpA L "-" "-"
51 Zahrah Hikmah,dr.,SpA P "-" "-"
52 Diana Amilia Susilo,dr.,SpA P "-" "-"
53 Azwin Mengindra Putera,dr.,SpA L Penata Muda Tk.I-III/b 19781214 200812 1 002
54 Nur Rochmah,dr.,SpA P Penata-III/c 19790429 200801 2 007
55 Neurinda Permata Kusumastuti,dr.,SpA P Penata Muda Tk.I-III/b 19790412 201012 2 002
56 Arina Setyaningtyas,dr.,M.Kes.,SpA P Penata Muda Tk.I-III/b 19760222 201012 2 003
Keterangan :
* mis ; Lektor Kepala/IVb
Pembina Tk.I/IVb
** Hanya satu :
mis ; Kardiologi (disingkat KARD)
*** Mungkin lebih dari satu :
mis ; Alergi Imunologi (AL-IM)
Pulmunologi (PULM)
**** Saat ini bertugas juga sebagai :
mis ; Dekan, Direktur RS, Dll
Formulir 1
jar ###
Sp.A(K) Bidang Rangkap jabatan/ Tahun Ket

Bidang…** Yg diasuh Penugasan Lain Pensiun
*** ****
HEM-ONK HEM-ONK "-" 1996 -12
TROP-INF TROP-INF "-" 1993 -15
PERI PERI "-" 1993 -15
TUM.KEM TUM.KEM "-" 1995 -13
NUT-Met NUT-Met Ketua IRNA 1996 -12
GAS-HEP GAS-HEP Ketua Departemen 2001 -7
NEFR NEFR KPS 1997 -11
ENDO ENDO "-" 1997 -11
KARD KARD "-" 2003 -5
NEUR NEUR "-" 2003 -5
AL-IM AL-IM "-" 1999 -9
PERI PERI "-" 1996 -12
PGD PGD "-" 1994 -14
GAS-HEP GAS-HEP Ketua SMF 1998 -10
PERI PERI "-" 1998 -10
HEM-ONK HEM-ONK "-" 2004 -4
NEFR NEFR "-" 2002 -6
"-" "-" "-" 2006 -2
NUT-Met NUT-Met "-" 2001 -7
"-" "-" "-" 2008 0
KARD KARD "-" 2007 -1
Formulir 1
"-" "-" "-" 2007 -1

NUT-Met NUT-Met "-" 2005 -3
RESPI RESPI "-" 2007 -1
AL-IM AL-IM "-" 2010 2
"-" "-" SPS 2013 5
PGD PGD "-" 2012 4
"-" "-" "-" 2012 4
TUM.KEM TUM.KEM "-" 2014 6
"-" "-" Kodik S0 2020 12
"-" "-" Kodik-S1 2018 10
"-" "-" "-" 2020 12
"-" "-" "-" 2010 2
"-" "-" "-" 2068 60
"-" "-" "-" 2017 9
"-" "-" "-" 2015 7
"-" "-" "-" 2021 13
"-" "-" "-" 2022 14
"-" "-" "-" 2014 6
"-" 2022 14
"-" "-" "-" 2022 14
"-" "-" "-" 2025 17
PROGRAM PENDIDIKAN DOKTER SPESIALIS ANAK Formulir 4
FAKULTAS KEDOKTERAN : _________________
UNIVERSITAS : _____________________________
Daftar PPDS yang mengundurkan diri
Periode 01 Januari 2005 s/d 30 Juni 2008
No Nama Lengkap (+title) Sex Tgl lahir Umur Alumni S1 (FK) Status NIP/NPA/ Masuk PPDS Mengundurkan diri Alasan/
Lk/Pr [hr] [bl] [th] Thn Depkes/TNI/Polri NRP/….. [hr] [bl] [th] [hr] [bl] [th] Keterangan
1 dr. Riviena Damanik P 5-Oct-78 FK UNAIR Swadana "-" 1-Jul-07 23 Nopember 2009 DO
2 dr. Ariani Khairunnisa P 6-Dec-81 FK USAKTI Swadana "-" 1-Jan-12 26 April 2012 Masalah Keluarga
3 dr. Fahrul Riza L 7-Apr-86 FK UNSYAH Beasiswa Daerah Aceh "-" MKDU 01 Juli 2016 6-Mar-17 Pindah ke UNSYAH
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
FAKULTAS KEDOKTERANUNIVERSITAS AIRLANGGA
Daftar Peserta Program Januari Tahun 2018
No Nama Lengkap (+title) Tempat Lahir Tgl lahir [hr] [bl] [th]
tgl bln th
1 dr. Rizka Arifani Jakarta 2-Jan-90 2 1 1990
2 dr. Fitrih Rahmawati Sultoni Malang 3-Jan-85 3 1 1985
3 dr. Aini Ariefa Samarinda 12-Jan-88 12 1 1988
4 dr. Pramita Anindya Nugraheni Surabaya 20-Jan-83 20 1 1983
5 dr. Hapsari Widya Ningtiar Bogor 21-Jan-84 21 1 1984
6 dr. Lasmauli Situmorang Fakfak 27-Jan-82 27 1 1982
7 dr. Gina Noor Djalilah Cianjur 28-Jan-82 28 1 1982
8 dr. Lenardo Ferryanto M Samadhi Surabaya 3-Feb-89 3 2 1989
9 dr. Nengcy Erlina Tasik Rerung Sentani 4-Feb-84 4 2 1984
10 dr. Vininsia Merry Laura Jakarta 8-Feb-90 8 2 1990
11 dr. Henry Wicaksono Surabaya 18-Feb-88 15 2 1988
12 dr. Amelia Sholikhah Sidoarjo 19-Feb-89 19 2 1989
13 dr. Umamah Jember 20-Feb-82 20 2 1982
14 dr. Febrina Pradita Surabaya 20-Feb-88 20 2 1988
15 dr. Harry Febryanto Surabaya 23-Feb-85 23 2 1985
16 dr. Mochammad Mustafa Kahmaruddin Jakarta 27-Feb-79 27 2 1979
17 dr. Anik Andris Setyaningrum Surabaya 1-Mar-78 1 3 1978
18 dr. Sri Astuti Eviningrum Jakarta 1-Mar-78 1 3 1978
19 dr. Martini Jakarta 1-Mar-81 1 3 1981
20 dr. Yesi Ermawati Jakarta Selatan 7-Mar-89 7 3 1989
21 dr. Dewi Rahmawati Kediri 8-Mar-84 8 3 1984
22 dr. Kadek Ayu Atrie Swarita Jombang 10-Mar-88 10 3 1988
23 dr. Eko Wahyudi Kediri 12-Mar-82 12 3 1982
24 dr. Frans Maradona Pasaribu Rantauprapat 13-Mar-81 13 3 1981
25 dr. Uuk Riuh Kusuma Wardana Bangkalan 16-Mar-80 16 3 1980
26 dr. Renyta Ika Damayanti Kediri 16-Mar-84 16 3 1984
27 dr. Seta Widya Nugraha Purworejo 29-Mar-86 29 3 1986
28 dr. Ratih Dwi Andini Samarinda 4-Apr-84 4 4 1984
29 dr. I Wayan Putra Artha Abra Wiratara Malang 8-Apr-80 8 4 1980
30 dr. Soraya Salle Pasulu Rautepao 10-Apr-87 10 4 1987
31 dr. Priscilla Putri Harmany Jakarta 13-Apr-87 13 4 1987
32 dr. Aldila Pratiwi Surabaya 16-Apr-90 16 4 1990
33 dr. Mardiyan Aprianto Pontianak 22-Apr-86 22 4 1986
34 dr. Dian Saraswati Surabaya 24-Apr-78 24 4 1978
35 dr. Mega Malynda Bangkalan 27-Apr-89 27 4 1989
36 dr. Arda Pratama Putra Chafid Ende 29-Apr-83 29 4 1983
37 dr. Citra Ganesa Putri Jakarta 11-May-86 1 5 1986
38 dr. Sunny Mariana samosir Medan 1-May-88 1 5 1988
39 dr. Ni Made Indah Dwijayanti Atmaja Kupang 2-May-87 2 5 1987
40 dr. Dian Yashifa Jambi 11-May-89 11 5 1986
41 dr. Claudia Magdalena Felisia Kurube Sorong 14-May-89 14 5 1989
42 dr. Agus Sunandar Gresik 18-May-78 18 5 1978
43 dr. Bangkit Putrawan Ujung Pandang 20-May-82 20 5 1982
44 dr. Emma Ratna Fury Kediri 21-May-85 21 5 1985
45 dr. Sylvia Wujaya Sumenep 23-May-85 23 5 1985
46 dr. Indah Ratna Sari Surabaya 25-May-83 25 5 1983
47 dr. Alexander Leonard Caesar Josediputra Surabaya 27-May-89 27 5 1989
48 dr. Esthy Poespitaningtyas Surabaya 31-May-81 31 5 1981
49 dr. Laksmi Puspita Yuniasari Denpasar 1-Jun-84 1 6 1984
50 dr. Nanda Hudawwarachmah Banda Aceh 1-Jun-85 1 6 1985
51 dr. Putri Wulan Sukmawati Malang 1-Jun-87 1 6 1987
52 dr. Indah Lestari Tanjung Selor 3-Jun-85 3 6 1985
53 dr. Dwi Lestari Avianti Surabaya 5-Jun-83 5 6 1983
54 dr. Kartika Hardiyani Jakarta 6-Jun-86 6 6 1986
55 dr. Rayi Kurnia Perwitasari Serabaya 8-Jun-89 8 6 1989
56 dr. Carrina Nenggar Dewanti Makassar 22-Jun-83 22 6 1983
57 dr. Adwina Nurlita Kusuma Wardhani Surakarta 24-Jun-89 24 6 1989
58 dr. Wurry Ayuningtyas Surabaya 25-Jun-88 25 6 1988
59 dr. Eka Sri Handayani Medan 26-Jun-85 26 6 1985
60 dr. Rivans Jackson Jakarta Barat 28-Jun-84 28 6 1984
61 dr. Masayu Ramadhani Polanunu Ambon 29-Jun-84 29 6 1984
62 dr. Dinda Anes Tunjungsari Surabaya 1-Jul-88 1 7 1988
63 dr. Lutvia Hidayati Surabaya 3-Jul-90 3 7 1990
64 dr. Iin Fatimah Tulung Agung 4-Jul-85 4 7 1985
65 dr. Yuli Astika Sampit 7-Jul-84 7 7 1984
66 dr. Zulfito Marendra Jakarta 21-Jul-77 21 7 1977
67 dr. Deasy Fiasry Bengkulu 22-Jul-79 22 7 1979
68 dr. Resty Varia Tutupoho Surabaya 26-Jul-85 26 7 1985
69 dr. Loysa Ladydi Jakarta 27-Jul-81 27 7 1981
70 dr. Helen Wila Mangngi Talolena Fak-Fak 29-Jul-84 29 7 1984
71 dr. Lusiana Malang 1-Aug-78 1 8 1978
72 dr. Khadijah Rizky Sumitro Ngawi 7-Aug-90 7 8 1990
73 dr. Rizka Yulianti Selong 11-Aug-86 11 8 1986
74 dr. Agus Budiarto Kediri 17-Aug-85 17 8 1985
75 dr. Anitha Marllyin Mairuhu Ambon 18-Aug-88 18 8 1988
76 dr. Raden Muhammad Zulfan Jauhari Pamekasan 20-Aug-85 20 8 1985
77 dr. Chasan Ismail Sidoarjo 22-Aug-85 22 8 1985
78 dr. Dwi Retno Wulandari Surabaya 1-Sep-79 1 9 1979
79 dr. Tutwuri Handayani Surabaya 1-Sep-82 1 9 1982
80 dr. Trias Kusuma Sari Bekasi 7-Sep-87 7 9 1987
81 dr. Anak Agung Ngurah Krisna Putra Denpasar 7-Sep-89 7 9 1989
82 dr. Rewina Intan Asmarani Mataram 8-Sep-87 8 9 1987
83 dr. Reny Widayanti Surabaya 14-Sep-79 14 9 1979
84 dr. Ike Wahyu Triastuti trenggalek 21-Sep-88 21 9 1988
85 dr. Hedi Mustiko Lamongan 22-Sep-83 22 9 1983
86 dr. Yurie Muharmaris Surabaya 29-Sep-84 23 9 1984
87 dr. Shirley Ferlina Lasmono Surabaya 24-Sep-87 24 9 1987
88 dr. Muhammad Shofi Rafsyanjani Surabaya 25-Sep-87 25 9 1987
89 dr. Sugi Deny Pranoto Soegianto Surabaya 26-Sep-87 26 9 1987
90 dr. Rika Hapsari Lampung 1-Oct-88 1 10 1988
91 dr. Chairunnisa Jakarta 2-Oct-85 2 10 1985
92 dr. Dina Aristiya Sumarno Tarakan 6-Oct-83 6 10 1983
93 dr. Siti Wahyu Windarti Sumenep 11-Oct-88 11 10 1988
94 dr. Andri Kurnia Wahyudi Banyuwangi 12-Oct-81 12 10 1981
95 dr. Ahmad Zakky Mashuri Sidoarjo 15-Oct-79 15 10 1979
96 dr. Berty Mitsu Yudhianty Jakarta 16-Oct-82 16 10 1982
97 dr. Elizabeth Beatrice Jonathan Malang 22-Oct-84 22 10 1984
98 dr. Andi Rahadian Prajitno Surabaya 24-Oct-86 24 10 1986
99 dr. Fauziah Pratiwi Malang 26-Oct-87 26 10 1987
100 dr. Miriawati Pontianak 28-Oct-81 28 10 1981
101 dr. Rabiatul Adawiah Samarinda 22-Oct-87 28 10 1987
102 dr. Rizky Arisanti Maharani Surabaya 30-Oct-87 30 10 1987
103 dr. Novi Dwi Anggraini Balikpapan 2-Nov-85 2 11 1985
104 dr. Wahyu Bagus Handoko Sidoarjo 4-Nov-82 4 11 1982
105 dr. Novi Rahayu Arianti Probolinggo 5-Nov-79 5 11 1979
106 dr. Dhini Karunia Benih Asmara Samarinda 8-Nov-80 8 11 1980
107 dr. Dyah Wikanesthi Surabaya 9-Nov-88 9 11 1988
108 dr. Garindra Wicaksono Surabaya 17-Nov-84 17 11 1984
109 dr. Imanuel Far-Far Ambon 17-Nov-86 17 11 1986
110 dr. Imella Marcos Surabaya 21-Nov-83 21 11 1983
111 dr. Nurul Ima Suciwiyati Sumenep 22-Nov-83 22 11 1983
112 dr. Mohammad Thoufik Hidayat Plaju 1-Dec-73 1 12 1973
113 dr. Desy Nurrosalia Wisnuwardani Malang 2-Dec-82 2 12 1982
114 dr. Maria Natalia Nababan Medan 5-Dec-82 5 12 1982
115 dr. Taufiqurrachman Soekardi Pamekasan 6-Dec-79 6 12 1979
116 dr. I Dewa Ayu Agung Sridharaswari Denpasar 6-Dec-86 6 12 1986
117 dr. Dimarzsiana Dara Sjahruddin Ujung Pandang 6-Dec-89 6 12 1989
118 dr. Intani Dewi Syahti Fauzi Bogor 7-Dec-86 7 12 1986
119 dr. Rendi Aji Prihaningtyas Surabaya 10-Dec-88 10 12 1988
120 dr. Candra Maulana Surabaya 12-Dec-84 12 12 1984
121 dr. Senja Baiduri Seibamban 14-Dec-84 14 12 1984
122 dr. Naomi Helena Paulus Denpasar 15-Dec-78 15 12 1978
123 dr. Maria Christine Florens Sandra Bandung 20-Dec-87 20 12 1987
124 dr. Riza Maulina Surabaya 23-Dec-83 23 12 1983
125 dr. Muqiemuddin Salim Makassar 24-Dec-81 24 12 1981
126 dr. Nur Nailul Ujung Pandang 26-Dec-82 26 12 1982
127 dr. Dedy Setiawan Malang 28-Dec-81 28 12 1981
128 dr. Evisina Hanafiati Frans Surabaya 28-Dec-82 28 12 1982
Daftar Lulusan PPDS

No Nama Lengkap (+title) Tgl lahir Alumni S1 (FK) NIP/NPA/ Masuk MKDU Masuk PPDS Lulus EN
NIM [hr] [bl] [th] NRP/….. [hr] [bl] [th] [hr] [bl] [th] Tanggal EL [hr] [bl] [th] Proposal
1 dr. Hetty Listyandarini 20-Apr-68 FK UNAIR "1920048510468 1-Jul-04 1-Jan-05 08 Februari 2010 31 Agst 2009
2 dr. Anis Amiranti 29-Jul-77 FK UNAIR "-" 1-Jan-05 1-Jul-05 08 Februari 2010 11 Mei 2009
3 dr. Dian Dwi Sary Mustika 15-Feb-72 FK UNDIP 140355703 1-Jan-05 1-Jul-05 08 Februari 2010 1 Okt 2009
4 dr. Dyahris Koentartiwi 8-Apr-74 FK UNIBRAW "-" 1-Jul-05 1-Jan-06 9-Aug-10 23 Juli 2009
5 dr. Azwin Mengindra Putera 14-Dec-78 FK UNAIR "-" 1-Jul-05 1-Jan-06 9-Aug-10 28-Jan-10
6 dr. Vitri Saktiwi 1-Oct-75 FK UNAIR "-" 1-Jul-03 1-Jan-04 22 November 2010 6-Apr-10
7 dr. Pramira Fitri 14-Sep-77 FK UNAIR "-" 1-Jul-04 1-Jan-05 22 November 2010 20-Apr-10
8 dr. Ariani Setiowati 14-Sep-74 FK UNAIR "-" 1-Jul-05 1-Jan-06 22 November 2010 9 Mei 2010
9 dr. Lyly Ekawati Candra 2-May-70 FK UNTAR 140360551 1-Jan-05 1-Jul-05 22 November 2010 6-Jan-10
10 dr. Maftoechoel Chalim 19-Nov-69 FK UGM "-" 1-Jan-05 1-Jul-05 22 November 2010 4 Peb 2010
11 dr. Neurinda Permata K 12-Apr-79 FK UNAIR "-" 1-Jul-05 1-Jan-06 22 November 2010 21-Jan-10
12 dr. Nur Rochmah 29-Apr-79 FK UNAIR "-" 1-Jul-05 1-Jan-06 22 November 2010 1 Peb 2010
13 dr. Lisa Pangemanan 10-Oct-78 FK UNAIR "-" 1-Jul-05 1-Jan-06 14-Mar-11 18-Apr-11 28 Okt 2010
14 dr. Fatchoel Wahab 13-Jul-70 FK UNAIR "-" 1-Jul-05 1-Jan-06 14-Mar-11 18-Apr-11 19 Okt 2010
15 dr. Leny Kartina 21-Apr-76 FK UNAIR "-" 1-Jan-06 1-Jul-06 14-Mar-11 18-Apr-11 5 Ags 2010
16 dr. I Gusti Ngurah Twi A 20-Jun-76 FK UNAIR "-" 1-Jan-06 1-Jul-06 14-Mar-11 18-Apr-11 26 Okt 2010
17 dr. Marta Listijani Sigit 15-Jan-79 FK UNIBRAW "-" 1-Jan-06 1-Jul-06 14-Mar-11 18-Apr-11 11 Mei 2010
18 dr. Immaculata Purwaningsih 1-Feb-73 FK UNAIR 140359602 1-Jan-05 1-Jul-05 27-Jun-11 25 Juli 2011 13 Des 2010
19 dr. Arief Budiarto Asnar 17-Jan-78 FK UHT "-" 1-Jan-06 1-Jul-06 27-Jun-11 25 Juli 2011 18-Jan-11
20 dr. Arina Satyaningtyas 22-Feb-76 FK UNAIR "-" 1-Jan-06 1-Jul-06 27-Jun-11 25 Juli 2011 23 Nop 2010
21 dr. Retno Wulandari 25-Sep-73 FK UNAIR "-" 1-Jan-06 1-Jul-06 27-Jun-11 25 Juli 2011 23 Des 2010
22 dr. Yunike Haway 3-Jun-77 FK UNAIR 140365668 1-Jan-06 1-Jul-06 27-Jun-11 25 Juli 2011 11-Jan-11
23 dr. Laksmi Suci Handini 10-Aug-78 FK UNAIR "-" 1-Jan-05 1-Jul-05 10-Oct-11 07-Nov-11 6-Jan-11
24 dr. Saraswati Dewi 25-Jun-70 FK UNIBRAW 140357415 1-Jul-05 1-Jan-06 10-Oct-11 07-Nov-11 16 Des 2010
25 dr. Endyt Purwandari 13-Feb-77 FK UNDIP "-" 1-Jul-05 1-Jan-06 10-Oct-11 07-Nov-11 21 Juli 2011
26 dr. Aminudin Harahap 14-Sep-71 FK UNSRI 13553/P 1-Jul-06 1-Jan-07 10-Oct-11 07-Nov-11 3 Mei 2011
27 dr. Rudi Candra 12-Jun-79 FK UISU "-" 1-Jul-09 1-Jan-10 10-Oct-11 07-Nov-11 24 Mei 2011
28 dr. Helena Maria Maniboey 010481101 24-Jan-69 FK UNAIR 140349783 1-Jul-03 1-Jan-04 5-Mar-12 2-Apr-12 22 Ags 2011
29 dr. Wahdini 010681104 10-Aug-69 FK UNSYIAH 140362356 1-Jul-05 1-Jan-06 5-Mar-12 2-Apr-12 21-Apr-11
30 dr. Tri Rachmadiyanto 010681105 9-May-70 FK UNAIR 140354915 1-Jul-05 1-Jan-06 5-Mar-12 2-Apr-12 7 Juni 2011
31 dr. Maria Marcelina Wulandari 010681106 26-Feb-73 FK UNAIR "-" 1-Jul-05 1-Jan-06 5-Mar-12 2-Apr-12 16 Juni 2011
32 dr. Sri Riyanti 010681112 1-Mar-70 FK UNAIR 140249492 1-Jul-05 1-Jan-06 5-Mar-12 2-Apr-12 16 Ags 2011
33 dr. Dina Angelika 010781111 16-Jun-74 FK UNAIR "-" 1-Jan-07 1-Jul-07 18 Juni 2012 16 Juli 2012 8 Des 2011
34 dr. Vita Dwi Wijayanti 010781101 20-Jan-79 FK UHT "-" 1-Jul-06 1-Jan-07 18 Juni 2012 16 Juli 2012 5 Des 2011
35 dr. Ririn Wahyuningtyas T 010781116 28-Dec-78 FK UWK "-" 1-Jan-07 1-Jul-07 18 Juni 2012 16 Juli 2012 21-Jan-12
36 dr. Budi Setiawan 010681115 23-Sep-70 FK UNPAD "-" 1-Jan-06 1-Jul-06 18 Juni 2012 16 Juli 2012 24-Nov-11
37 dr. Budiyanto 010881101 26-Jun-77 FK UNAIR 540016186 1-Jul-07 1-Jan-08 18 Juni 2012 16 Juli 2012 2-Feb-12
38 dr. Nailul Huda 010781103 10-Sep-75 FK UGM "-" 1-Jul-06 1-Jan-07 18 Juni 2012 16 Juli 2012 9-Feb-12
39 dr. Titien Prastyaningtyas 010781110 9-Oct-74 FK UNAIR "-" 1-Jul-06 1-Jan-07 01 Okt 2012 29 Okt 2012 23-Feb-12
40 dr. Indah Sulistiyani 010781112 28-Nov-79 FK UNIBRAW 140367294 1-Jan-07 1-Jul-07 01 Okt 2012 29 Okt 2012 22 Mei 2012
41 dr. Enny Zuraida 010781113 6-May-79 FK UNAIR "-" 1-Jan-07 1-Jul-07 01 Okt 2012 29 Okt 2012 29 Maret 2012
42 dr. Dewi Astasari 010781114 6-Aug-80 FK UNAIR "-" 1-Jan-07 1-Jul-07 01 Okt 2012 29 Okt 2012 20 Maret 2012
43 dr. Vinny Yoana 010781117 10-Aug-81 FK UNAIR "-" 1-Jan-07 1-Jul-07 01 Okt 2012 29 Okt 2012 8 Mei 2012
44 dr. Hendarti Praharaningsih 010781121 12-Jun-79 FK UNAIR "-" 1-Jan-07 1-Jul-07 01 Okt 2012 29 Okt 2012 15 Maret 2012
45 dr. Kartika Darma Handayani 010881103 21-Mar-81 FK USAKTI "-" 1-Jul-07 1-Jan-08 01 Okt 2012 29 Okt 2012 19-Apr-12
46 dr. Zuhrotul Aini 010881105 26-Mar-74 FK UNAIR 510136677 1-Jul-07 1-Jan-08 01 Okt 2012 29 Okt 2012 7 Maret 2012
47 dr. Dwi Agustina 010581106 12-Aug-73 FK UNS "-" 1-Jan-05 1-Jul-05 03 Des 2012 7-Jan-13 29-Feb-12
48 dr. Dwi Putri Lestari 010781108 19-Jun-80 FK UNAIR "-" 1-Jul-06 1-Jan-07 03 Des 2012 7-Jan-13 3-Jul-12
49 dr. Bagus Samsu 010781115 27-Aug-81 FK UNAIR "-" 1-Jan-07 1-Jul-07 03 Des 2012 7-Jan-13 29-May-12
50 dr. Dian Pratamastuti 010881102 20-Jan-80 FK UKI "-" 1-Jul-07 1-Jan-08 03 Des 2012 7-Jan-13 12-Apr-12
51 dr. Faisal 010881106 23-Jan-78 FK UNSYIAH 390023308 1-Jul-07 1-Jan-08 03 Des 2012 7-Jan-13 26-Apr-12
52 dr. M.Risa Kurniawan 010881107 28-Jan-81 FK UNAIR "-" 1-Jul-07 1-Jan-08 03 Des 2012 7-Jan-13 21-Jun-12
53 dr. Fadil Rulian 010881110 5-Dec-78 FK USU 430014098 1-Jan-08 1-Jul-08 8-Apr-13 6-May-13 13-Nov-12
54 dr. Hapsari Kusumawardani 010881104 3-Apr-81 FK USAKTI "-" 1-Jul-07 1-Jan-08 8-Apr-13 6-May-13 20-Sep-12
55 dr. Rina Elizabeth 010881124 28-Jun-80 FK UKRIDA "-" 1-Jan-11 1-Jul-11 8-Apr-13 6-May-13 6-Nov-12
56 dr. Kusdwijono 010781104 22-Jun-79 FK UHT "-" 1-Jul-06 1-Jan-07 8-Apr-13 6-May-13 14-Jun-12
57 dr. Hanna Dyahferi Anomsari 010781105 2-Feb-79 FK UNAIR "-" 1-Jul-06 1-Jan-08 8-Apr-13 6-May-13 3-Apr-12
58 dr. Herwina Brahmantya 010781106 7-Oct-80 FK UNIBRAW "-" 1-Jul-06 1-Jan-07 3-Jun-13 1-Jul-13 12-Jan-12
59 dr. Sitti Radhiah 010781107 14-Sep-76 FK UNSYIAH 140363803 1-Jul-06 1-Jan-07 3-Jun-13 1-Jul-13 13-Sep-12
60 dr. Rizki Rohmadhoni Pikir 010781118 9-May-81 FK UNAIR "-" 1-Jan-07 1-Jul-07 3-Jun-13 1-Jul-13 11-Apr-13
61 dr. Wiweka Merbawani 010881111 28-Jan-72 FK UNAIR 140363951 1-Jan-08 1-Jul-08 3-Jun-13 1-Jul-13 16-Apr-13
62 dr. Stephany Dwiastuti 010881112 3-Jan-83 FK UNAIR "-" 1-Jan-08 1-Jul-08 3-Jun-13 1-Jul-13 27-Nov-12
63 dr. Ergia Latifolia 010881115 10-Dec-74 FK UNAIR 140364772 1-Jan-08 1-Jul-08 3-Jun-13 1-Jul-13 17-Apr-13
64 dr. Taufiq Hidayat 010981103 11-Nov-81 FK UNAIR "-" 1-Jul-08 1-Jan-09 3-Jun-13 1-Jul-13 12-Apr-13
65 dr. Wennas 010981108 27-Jul-73 FK USAKTI "-" 1-Jul-08 1-Jan-09 3-Jun-13 1-Jul-13 18-Apr-13
66 dr. Anggono Ratma AS 010981110 9-May-74 FK UHT 510146459 1-Jul-08 1-Jan-09 3-Jun-13 1-Jul-13 5-Nov-12
67 dr. Ari Setiawati 010781102 28-Mar-80 FK UNAIR "-" 1-Jul-06 1-Jan-07 30-Sep-13 5-Oct-13 11-Jul-13
68 dr. Savitri Laksmi 010881109 8-Apr-75 FK UNIBRAW "-" 1-Jan-08 1-Jul-08 30-Sep-13 5-Oct-13 22-Jul-13
69 dr. Noershanti Ramadhani 010881113 11-Jul-82 FK UNAIR "-" 1-Jan-08 1-Jul-08 30-Sep-13 5-Oct-13 29-Jul-13
70 dr. Nyoman Indah Tri Utami 010881116 23-May-81 FK UNPAD "-" 1-Jan-08 1-Jul-08 30-Sep-13 5-Oct-13 24-Jul-13
71 dr. Nugroho Danu Tri S 010981107 19-Mar-82 FK UNAIR "-" 1-Jul-08 1-Jan-09 30-Sep-13 5-Oct-13 9-Apr-13
72 dr. Mahendra Tri Arif Sampurna 010981118 25-Jan-83 FK UNAIR "-" 1-Jan-09 1-Jul-09 30-Sep-13 5-Oct-13 11-Dec-12
73 dr. Agus Cahyono 010981113 1-Jan-09 1-Jul-09 6-Jan-14 25-Jan-14 18-Jul-13

74 dr. Catarina Rani R 010981106 1-Jul-08 1-Jan-09 4-Apr-14 28-Apr-14 23-May-13
75 dr. Indah Musdalifah 010981109 1-Jul-08 1-Jan-09 4-Apr-14 28-Apr-14 6-Feb-14
76 dr. Ninik Ambarwati 010981115 1-Jan-09 1-Jul-09 4-Apr-14 28-Apr-14 22-Jan-14
77 dr. Lasmadu Suyanto 010981116 1-Jan-09 1-Jul-09 4-Apr-14 28-Apr-14 31-Dec-13
78 dr. Agus Ferdiansyah 010981117 1-Jan-09 1-Jul-09 4-Apr-14 28-Apr-14 24-Dec-13
79 dr. Andika Yudha Kristanto 010981120 1-Jan-09 1-Jul-09 4-Apr-14 28-Apr-14 23-Dec-13
80 dr. Irwina Rahma Andriani 010981101 1-Jul-08 1-Jan-09 21-Jul-14 11-Aug-14 Monday, January 20, 2014
81 dr. Bebi Muthia S 010981104 1-Jul-08 1-Jan-09 21-Jul-14 11-Aug-14 Monday, January 27, 2014
82 dr. Herlin Kristanti 010981105 1-Jul-08 1-Jan-09 21-Jul-14 11-Aug-14 Tuesday, February 18, 2014
83 dr. Debby Puspitasari 010981112 1-Jul-08 1-Jan-09 21-Jul-14 11-Aug-14 Monday, January 06, 2014
84 dr. Yusian Eri Fitria 010981114 1-Jan-09 1-Jul-09 21-Jul-14 11-Aug-14 Monday, December 30, 2013
85 dr. Andi Cahyadi 010981119 1-Jan-09 1-Jul-09 21-Jul-14 11-Aug-14 Wednesday, February 26, 2014
86 dr. Emmy Hayatun 010981121 1-Jan-09 1-Jul-09 21-Jul-14 11-Aug-14 Tuesday, January 28, 2014
87 dr. Arif Fakhrudin 010981122 1-Jan-09 1-Jul-09 21-Jul-14 11-Aug-14 Thursday, February 20, 2014
88 dr. Prapti Dewi Suhirman 010981123 1-Jan-09 1-Jul-09 21-Jul-14 11-Aug-14 Monday, February 24, 2014
89 dr. Yunita Imtihani 010981126 1-Jul-09 1-Jan-10 21-Jul-14 11-Aug-14 Thursday, February 13, 2014
90 dr. Oktavian Prasetia Wardana 010981130 1-Jul-09 1-Jan-10 21-Jul-14 11-Aug-14 Tuesday, February 11, 2014
91 dr. Sofia Wardhani 010981131 1-Jul-09 1-Jan-10 21-Jul-14 11-Aug-14 Wednesday, February 12, 2014
92 dr. Lukman Oktadianto 010981128 1-Jul-09 1-Jan-10 21-Jul-14 11-Aug-14 Monday, January 13, 2014
93 dr. Sherly Yuniarchan 010981134 1-Jul-09 1-Jan-10 2-Feb-15 21-Feb-15 Thursday, October 16, 2014
94 dr. Meta Herdiana Hanindita 010981127 1-Jul-09 1-Jan-10 2-Feb-15 21-Feb-15 Wednesday, June 12, 2013
95 dr. Yuni Hisbiyah 010981150 1-Jan-10 1-Jul-10 12-May-15 23-May-15 Wednesday, August 20, 2014
96 dr. Robby Nurhariansyah 010981129 1-Jul-09 1-Jan-10 12-May-15 23-May-15 Tuesday, June 17, 2014
97 dr. Antonius Tarigan 010981135 1-Jul-09 1-Jan-10 12-May-15 23-May-15 Thursday, October 30, 2014
98 dr. Mangihut Rumiris Manulang 010981136 1-Jul-09 1-Jan-10 12-May-15 23-May-15 Tuesday, November 04, 2014
99 dr. Sri Sumei 010981132 1-Jul-09 1-Jan-10 12-May-15 23-May-15 Monday, October 06, 2014
100 dr. Rofi Budiyanto 010881108 1-Jul-07 1-Jan-08 12-May-15 23-May-15 Thursday, January 16, 2014
101 dr. Erwina Mei Astuti 010981142 1-Jan-10 1-Jul-10 12-May-15 23-May-15 Monday, December 15, 2014
102 dr. Edga Dripayanti Armina 010981144 1-Jan-10 1-Jul-10 13-Aug-15 30-Aug-15 24-Feb-15
103 dr. Meiliza Madona 010981151 1-Jan-10 1-Jul-10 13-Aug-15 30-Aug-15 18-Mar-15
104 dr. Debora Shinta Liana 010981149 1-Jan-10 1-Jul-10 13-Aug-15 30-Aug-15 17-Nov-14
105 dr. Lini Delina 010981102 1-Jul-08 1-Jan-09 13-Aug-15 30-Aug-15 17-Mar-15
106 dr. Putu Dian Saraswati 011081119 1-Jan-11 1-Jul-11 16-Nov-15 29-Nov-15 16-Feb-15
107 dr. Deanty Ayu Putri Anggraeni 010981143 1-Jan-10 1-Jul-10 16-Nov-15 29-Nov-15 25-Nov-14
108 dr. Nazara Agustina 010981146 1-Jan-10 1-Jul-10 16-Nov-15 29-Nov-15 2-Dec-14
109 dr. Jean Peter Siregar 011218116312 1-Jul-12 1-Jan-13 16-Nov-15 29-Nov-15 20-Apr-15
110 dr. Areta Idarto 011081106 1-Jul-10 1-Jan-11 25-Jan-16 20-Feb-16 3-Dec-14
111 dr. I Dewa Ayu Agung Shinta Kamaya011081112 1-Jan-11 1-Jul-11 25-Jan-16 20-Feb-16 22-Feb-15
112 dr. Berlian Beatrix Rarome 011081117 1-Jan-11 1-Jul-11 25-Jan-16 20-Feb-16 18-Feb-15
113 dr. Yeni Kusumawati 011081102 1-Jul-10 1-Jan-11 25-Jan-16 20-Feb-16 20-Nov-14
114 dr. Hidayati Utami 010981133 1-Jul-09 1-Jan-10 25-Jan-16 20-Feb-16 27-May-15
115 dr. Ahmad Mahfur 11081110 1-Jul-10 1-Jan-11 18-Apr-16 14-May-16 21-Apr-15
116 dr. Hakimah Maimunah 11081121 1-Jan-11 1-Jul-11 18-Apr-16 14-May-16 28-Apr-15
117 dr. Abdul Haris Khoironi 10981147 1-Jan-10 1-Jul-10 18-Apr-16 14-May-16 13-May-15
Lama Ketepatan Ketepatan
Karya Akhir Tesis Penyelesaian Lulus 9 smt
Status
(Bln) Tesis (4 bln) (lebih bulan)
(lebih bulan)
21 Okt 2009 2 -2 1 TNI
04 Nop 2009 6 2 0 Mandiri
10 Des 2009 2 -2 0 Depkes
8 Juni 2010 11 7 0 Mandiri
26 Mei 2010 4 0 0 Mandiri
6-Sep-10 5 1 5 Mandiri
5 Okt 2010 6 2 3 Mandiri
14 Okt 2010 9 5 2 Depkes
26-Jan-11 3 -1 2 Mandiri
13-Jan-11 3 -1 2 Mandiri
9 Peb 2011 6 2 1 Mandiri
7 Peb 2011 4 0 1 Mandiri
21 Des 2010 7 3 1 Mandiri
1 Juni 2011 6 2 #VALUE! Depkes
30 Mei 2011 4 0 #VALUE! Mandiri

31-Mar-11 4 0 #VALUE! Mandiri
31 Mei 2011 4 0 #VALUE! Depkes
15 Agustus 2011 7 3 4 Mandiri
22 Juni 2011 6 2 3 Depkes
12-Sep-11 2 -2 3 Mandiri
22-Aug-11 3 -1 1 TNI
18-Aug-11 3 -1 1 Mandiri Adaptasi
25-Jan-12 5 1 8 Depkes
13 Okt 2011 6 2 4 Depkes
27-Sep-11 3 -1 4 Depkes
15 Des 2011 6 2 4 Mandiri
12 Des 2011 4 0 4 Depkes
10-Apr-12 4 0 #VALUE! Pemda
16 Mei 2012 3 -1 #VALUE! Pemda
24 Mei 2012 3 -1 #VALUE! Mandiri
14 Ags 2012 6 2 #VALUE! Mandiri
31 Juli 2012 2 -2 #VALUE! Depkes
28 Juni 2012 3 -1 #VALUE! Mandiri
26 Juni 2012 3 -1 #VALUE! Mandiri
24 Juli 2012 2 -2 #VALUE! Mandiri
13 Juli 2012 4 0 #VALUE! Mandiri

18 Juli 2012 3 -1 #VALUE! Mandiri
11 Juli 2012 4 0 #VALUE! Pemda
22-Oct-12 8 4 6 Mandiri
1-Nov-12 4 0 3 Mandiri
19-Sep-12 5 1 1 Pemda
29-Jan-13 3 -1 1 BK Kemenkes
19-Feb-13 5 1 2 Mandiri
22-Jan-13 3 -1 1 Mandiri Adaptasi
5-Feb-13 10 6 4 Mandiri
22-Apr-13 16 12 4 Mandiri
30-Apr-13 8 4 4 Depkes
20-May-13 1 -3 3 Mandiri
15-May-13 1 -3 1 BK Kemenkes
29-Apr-13 5 1 1 Mandiri
13-May-13 1 -3 1 BK Kemenkes
10-Apr-13 5 1 0 BK Kemenkes
5-Jun-13 2 -2 1 Mandiri
27-Jun-13 7 3 0 Mandiri
26-Nov-13 4 0 0 Mandiri
4-Mar-14 10 6 2 Mandiri
27-Mar-14 2 -2 2 Pemda
26-Mar-14 2 -2 1 Pemda
25-Mar-14 3 -1 1 Pemda
24-Mar-14 3 -1 1 Mandiri
14-Mar-14 3 -1 1 BK Kemenkes
Monday, June 23, 2014 5 1 2 Mandiri
Thursday, March 20, 2014 2 -2 2 Pemda
Thursday, June 26, 2014 4 0 2 Pemda
Tuesday, July 01, 2014 6 2 2 BK Kemenkes
Wednesday, March 19, 2014 3 -1 1 Mandiri
Tuesday, June 03, 2014 3 -1 1 BK Kemenkes
Tuesday, May 20, 2014 4 0 1 BK Kemenkes
Tuesday, June 24, 2014 4 0 1 BK Kemenkes
Monday, June 30, 2014 4 0 1 BK Kemenkes
Thursday, July 03, 2014 5 1 0 Mandiri
Wednesday, July 02, 2014 5 1 0 Mandiri
Thursday, June 19, 2014 4 0 0 Depkes
Wednesday, April 23, 2014 3 -1 0 Mandiri
Thursday, December 18, 2014 2 -2 1 BK Kemenkes
Wednesday, May 28, 2014 12 8 1 Mandiri
Tuesday, April 07, 2015 8 4 1 BK Kemenkes
Friday, March 06, 2015 9 5 2 Mandiri
Thursday, March 19, 2015 5 1 2 BK Kemenkes
Wednesday, April 15, 2015 5 1 2 BK Kemenkes
Thursday, March 19, 2015 5 1 2 BK Kemenkes
Thursday, April 16, 2015 15 11 6 Mandiri
Tuesday, April 07, 2015 4 0 1 BK Kemenkes
8-Jun-15 3 -1 1 Mandiri
8-Jul-15 4 0 1 BK Kemenkes
16-Jun-15 7 3 1 BK Kemenkes
30-Jul-15 5 1 5 Mandiri
8-Oct-15 8 4 0 BK Kemenkes
15-Oct-15 6 2 3 Mandiri Adaptasi
23-Dec-15 10 6 0 Mandiri
22-Dec-15 10 6 0 BK Kemenkes
15-Aug-15 9 5 1 Depkes
14-Jan-16 9 5 2 BK Kemenkes
7-Mar-16 10 6 1 BK Kemenkes
8-Mar-16 10 6 3 BK Kemenkes
Daftar Lulusan PPDS

No Nama Lengkap (+title) Lulus EN

[hr] [bl] [th] Sumbangan
1 I Ketut Alit Utamayasa,dr. Mar-04
2 Maria Magdalena Sulistiowati Sastosa,dr. Mar-04
3 Yustina Rosanti,dr. Mar-04
4 Agus Salim,dr. Mar-04
5 Tri Lestari Rahayu,dr. Mar-04
6 Martono Tri Utomo Mar-04
7 Trijuni Andiharti D,dr. Jun-04
8 Haryudi Aji Cahyono,dr. Jun-04
9 Cherly Gunawan,dr. Jun-04
10 Satrio Boediman,dr. Jun-04
11 Bagus Setyoboedi, dr. Feb-05
12 Eko Sulistijono, dr. Feb-05
13 Retno Asih Setyoningrum, dr. Feb-05
14 Retno Hernik Mulyati Andayani, dr. Feb-05
15 Lukman Abdul Bafadal, dr. Feb-05
16 Mia Ratwita, dr. Feb-05
17 Alfredo Hariadi, dr. Feb-05
18 Roedi Djatmiko, dr. Feb-05
19 Mario Bernardinus Realino Nara, dr. Feb-05
20 Boy Hariayadi, dr. Jan-06
21 M Nasiruddin, dr. Jan-06
22 Sony Tri Appendicky Kamil, dr. Jan-06
23 Ahmad Fauzin, dr. Jan-06
24 Agung Nugroho Whidi, dr. Jan-06
25 Alpha Fardah Athiyyah, dr. Jan-06
26 Lusiana Kartininingsih, dr. Jan-06
27 Anita Kartika Sari,dr. Jun-06
28 Rini Andri Astuti,dr. Jun-06
29 Muhammad Rizal Altway,dr. Jun-06
30 Dyah Retno Wulan,dr. Dec-06
31 Retno Wisanti Dec-06
32 Hartojo Dec-06
33 Lisa Anggraini Subrata,dr. May-07

34 Ahmad Yuniari Heryana,dr. May-07
35 Tri Dyah Rumanti,dr. May-07
36 Lucia Pudiastuti Ratnaningtyas,dr. May-07
37 Poernomo Ismoe Kartiko,dr. Ags 2007
38 Mira Irmawati,dr. Ags 2007
39 Maretha Sukmawardani,dr. Ags 2007
40 Irene Ratridewi,dr. Ags 2007
41 Dini Adityarini,dr. Ags 2007
42 Gede Utomo,dr. Ags 2007
43 Rachmanto Heryawan Surya A,dr. Ags 2007
44 Dwiyanti Puspitasari,dr. Dec-07
45 Wiyarni,dr. Dec-07
46 Akira Prayudijanto,dr. Dec-07
47 Risky Vitria Prasetyo,dr. Dec-07
48 Zainuddin Hamidi,dr. Dec-07
49 I Nyoman Sudiatmika,dr. Dec-07
50 Lita Siulan Tanang,dr. Oct-08
51 Prastiya Indra Gunawan,dr. Oct-08
52 Raihan,dr. Jan-09
53 Ivijanthi Meriastuti,dr. Jan-09
54 Edim Hartati,dr. Jan-09
55 Zahrah Hikmah,dr. Jan-09
56 Maria C Shanty,dr. Apr-09
57 Rulik Rufiati,dr. Apr-09
58 Andy Darma,dr. Apr-09
59 Nur Aisiyah Widjaja,dr. Apr-09
60 Taufiqur Rachman,dr. Apr-09
61 Bony Pramono,dr. Apr-09
62 Deddy Iskandar,dr. Apr-09
63 dr. Anas Yamien Dec-09
64 dr. Diana Amilia S Dec-09
65 dr. Komang Ayu Witarini Dec-09
66 dr. Aty Firsiyanti Dec-09
67 dr. Roosnawati M Dec-09
68 dr. Amor Peraten G Dec-09
69 dr. Virany Diana Dec-09
70 dr. Ery Olivianto Dec-09
71 dr. Annie Kusumadewi Dec-09
72 dr. Hetty Listyandarini 08 Februari 2010

73 dr. Anis Amiranti 08 Februari 2010
74 dr. Dian Dwi Sary Mustika 08 Februari 2010
75 dr. Dyahris Koentartiwi 9-Aug-10
76 dr. Azwin Mengindra Putera 9-Aug-10
77 dr. Vitri Saktiwi 22 November 2010
78 dr. Pramira Fitri 22 November 2010
79 dr. Ariani Setiowati 22 November 2010
80 dr. Lyly Ekawati Candra 22 November 2010
81 dr. Maftoechoel Chalim 22 November 2010
82 dr. Neurinda Permata K 22 November 2010
83 dr. Nur Rochmah 22 November 2010
84 dr. Lisa Pangemanan 18-Apr-11
85 dr. Fatchoel Wahab 18-Apr-11
86 dr. Leny Kartina 18-Apr-11
87 dr. I Gusti Ngurah Twi A 18-Apr-11
88 dr. Marta Listijani Sigit 18-Apr-11
89 dr. Immaculata Purwaningsih 25 Juli 2011
90 dr. Arief Budiarto Asnar 25 Juli 2011
91 dr. Arina Satyaningtyas 25 Juli 2011
92 dr. Retno Wulandari 25 Juli 2011
93 dr. Yunike Haway 25 Juli 2011
94 dr. Laksmi Suci Handini 07-Nov-11
95 dr. Saraswati Dewi 07-Nov-11
96 dr. Endyt Purwandari 07-Nov-11
97 dr. Aminudin Harahap 07-Nov-11
98 dr. Rudi Candra 07-Nov-11
99 dr. Helena Maria Maniboey 2-Apr-12
100 dr. Wahdini 2-Apr-12
101 dr. Tri Rachmadiyanto 2-Apr-12
102 dr. Maria Marcelina Wulandari 2-Apr-12
103 dr. Sri Riyanti 2-Apr-12
104 dr. Dina Angelika 16 Juli 2012
105 dr. Vita Dwi Wijayanti 16 Juli 2012
106 dr. Ririn Wahyuningtyas T 16 Juli 2012
107 dr. Budi Setiawan 16 Juli 2012
108 dr. Budiyanto 16 Juli 2012
109 dr. Nailul Huda 16 Juli 2012
110 dr. Titien Prastyaningtyas 29 Okt 2012
111 dr. Indah Sulistiyani 29 Okt 2012

112 dr. Enny Zuraida 29 Okt 2012
113 dr. Dewi Astasari 29 Okt 2012
114 dr. Vinny Yoana 29 Okt 2012
115 dr. Hendarti Praharaningsih 29 Okt 2012
116 dr. Kartika Darma Handayani 29 Okt 2012
117 dr. Zuhrotul Aini 29 Okt 2012
118 dr. Dwi Agustina 7-Jan-13
119 dr. Dwi Putri Lestari 7-Jan-13
120 dr. Bagus Samsu 7-Jan-13
121 dr. Dian Pratamastuti 7-Jan-13
122 dr. Faisal 7-Jan-13
123 dr. M.Risa Kurniawan 7-Jan-13
124 dr. Fadil Rulian 6-May-13
125 dr. Hapsari Kusumawardani 6-May-13
126 dr. Rina Elizabeth 6-May-13
127 dr. Kusdwijono 6-May-13
128 dr. Hanna Dyahferi Anomsari 6-May-13
129 dr. Herwina Brahmantya 1-Jul-13
130 dr. Sitti Radhiah 1-Jul-13
131 dr. Rizki Rohmadhoni Pikir 1-Jul-13
132 dr. Wiweka Merbawani 1-Jul-13
133 dr. Stephany Dwiastuti 1-Jul-13
134 dr. Ergia Latifolia 1-Jul-13
135 dr. Taufiq Hidayat 1-Jul-13
136 dr. Wennas 1-Jul-13
137 dr. Anggono Ratma AS 1-Jul-13
138 dr. Ari Setiawati 5-Oct-13
139 dr. Savitri Laksmi 5-Oct-13
140 dr. Noershanti Ramadhani 5-Oct-13
141 dr. Nyoman Indah Tri Utami 5-Oct-13
142 dr. Nugroho Danu Tri S 5-Oct-13
143 dr. Mahendra Tri Arif Sampurna 5-Oct-13
144 dr. Agus Cahyono 25-Jan-14

145 dr. Catarina Rani R 28-Apr-14
146 dr. Indah Musdalifah 28-Apr-14
147 dr. Ninik Ambarwati 28-Apr-14
148 dr. Lasmadu Suyanto 28-Apr-14
149 dr. Agus Ferdiansyah 28-Apr-14
150 dr. Andika Yudha Kristanto 28-Apr-14
151 dr. Irwina Rahma Andriani 11-Aug-14
152 dr. Bebi Muthia S 11-Aug-14
153 dr. Herlin Kristanti 11-Aug-14
154 dr. Debby Puspitasari 11-Aug-14
155 dr. Yusian Eri Fitria 11-Aug-14
156 dr. Andi Cahyadi 11-Aug-14
157 dr. Emmy Hayatun 11-Aug-14
158 dr. Arif Fakhrudin 11-Aug-14
159 dr. Prapti Dewi Suhirman 11-Aug-14
160 dr. Yunita Imtihani 11-Aug-14
161 dr. Oktavian Prasetia Wardana 11-Aug-14
162 dr. Sofia Wardhani 11-Aug-14
163 dr. Lukman Oktadianto 11-Aug-14
164 dr. Sherly Yuniarchan 21-Feb-15
165 dr. Meta Herdiana Hanindita 21-Feb-15
166 dr. Yuni Hisbiyah 23-May-15
167 dr. Robby Nurhariansyah 23-May-15
168 dr. Antonius Tarigan 23-May-15
169 dr. Mangihut Rumiris Manulang 23-May-15
170 dr. Sri Sumei 23-May-15
171 dr. Rofi Budiyanto 23-May-15
172 dr. Erwina Mei Astuti 23-May-15
173 dr. Edga Dripayanti Armina 30-Aug-15
174 dr. Meiliza Madona 30-Aug-15
175 dr. Debora Shinta Liana 30-Aug-15
176 dr. Lini Delina 30-Aug-15
177 dr. Putu Dian Saraswati 29-Nov-15
178 dr. Deanty Ayu Putri Anggraeni 29-Nov-15
179 dr. Nazara Agustina 29-Nov-15
180 dr. Jean Peter Siregar 29-Nov-15
181 dr. Areta Idarto 20-Feb-16
182 dr. I Dewa Ayu Agung Shinta Kamaya 20-Feb-16
183 dr. Berlian Beatrix Rarome 20-Feb-16
184 dr. Yeni Kusumawati 20-Feb-16
185 dr. Hidayati Utami 20-Feb-16
186 dr. Ahmad Mahfur 14-May-16
187 dr. Hakimah Maimunah 14-May-16
188 dr. Abdul Haris Khoironi 14-May-16
No Nama Lengkap (+title) NIM Masuk MKDU Masuk PPDS EL Lulus EN
1 dr. Agus Cahyono 010981113 1-Jan-09 1-Jul-09 6-Jan-14 25-Jan-14
2 dr. Catarina Rani R 010981106 1-Jul-08 1-Jan-09 4-Apr-14 28-Apr-14
3 dr. Indah Musdalifah 010981109 1-Jul-08 1-Jan-09 4-Apr-14 28-Apr-14
4 dr. Ninik Ambarwati 010981115 1-Jan-09 1-Jul-09 4-Apr-14 28-Apr-14
5 dr. Lasmadu Suyanto 010981116 1-Jan-09 1-Jul-09 4-Apr-14 28-Apr-14
6 dr. Agus Ferdiansyah 010981117 1-Jan-09 1-Jul-09 4-Apr-14 28-Apr-14
7 dr. Andika Yudha Kristanto 010981120 1-Jan-09 1-Jul-09 4-Apr-14 28-Apr-14
8 dr. Irwina Rahma Andriani 010981101 1-Jul-08 1-Jan-09 21-Jul-14 11-Aug-14
9 dr. Bebi Muthia S 010981104 1-Jul-08 1-Jan-09 21-Jul-14 11-Aug-14
10 dr. Herlin Kristanti 010981105 1-Jul-08 1-Jan-09 21-Jul-14 11-Aug-14
11 dr. Debby Puspitasari 010981112 1-Jul-08 1-Jan-09 21-Jul-14 11-Aug-14
12 dr. Yusian Eri Fitria 010981114 1-Jan-09 1-Jul-09 21-Jul-14 11-Aug-14
13 dr. Andi Cahyadi 010981119 1-Jan-09 1-Jul-09 21-Jul-14 11-Aug-14
14 dr. Emmy Hayatun 010981121 1-Jan-09 1-Jul-09 21-Jul-14 11-Aug-14
15 dr. Arif Fakhrudin 010981122 1-Jan-09 1-Jul-09 21-Jul-14 11-Aug-14
16 dr. Prapti Dewi Suhirman 010981123 1-Jan-09 1-Jul-09 21-Jul-14 11-Aug-14
17 dr. Yunita Imtihani 010981126 1-Jul-09 1-Jan-10 21-Jul-14 11-Aug-14
18 dr. Oktavian Prasetia Wardana 010981130 1-Jul-09 1-Jan-10 21-Jul-14 11-Aug-14
19 dr. Sofia Wardhani 010981131 1-Jul-09 1-Jan-10 21-Jul-14 11-Aug-14
20 dr. Lukman Oktadianto 010981128 1-Jul-09 1-Jan-10 21-Jul-14 11-Aug-14
21 dr. Sherly Yuniarchan 010981134 1-Jul-09 1-Jan-10 2-Feb-15 21-Feb-15
22 dr. Meta Herdiana Hanindita 010981127 1-Jul-09 1-Jan-10 2-Feb-15 21-Feb-15
23 dr. Yuni Hisbiyah 010981150 1-Jan-10 1-Jul-10 12-May-15 23-May-15
24 dr. Robby Nurhariansyah 010981129 1-Jul-09 1-Jan-10 12-May-15 23-May-15
25 dr. Antonius Tarigan 010981135 1-Jul-09 1-Jan-10 12-May-15 23-May-15
26 dr. Mangihut Rumiris Manulang 010981136 1-Jul-09 1-Jan-10 12-May-15 23-May-15
27 dr. Sri Sumei 010981132 1-Jul-09 1-Jan-10 12-May-15 23-May-15
28 dr. Rofi Budiyanto 010881108 1-Jul-07 1-Jan-08 12-May-15 23-May-15
29 dr. Erwina Mei Astuti 010981142 1-Jan-10 1-Jul-10 12-May-15 23-May-15
30 dr. Edga Dripayanti Armina 010981144 1-Jan-10 1-Jul-10 13-Aug-15 30-Aug-15
31 dr. Meiliza Madona 010981151 1-Jan-10 1-Jul-10 13-Aug-15 30-Aug-15
32 dr. Debora Shinta Liana 010981149 1-Jan-10 1-Jul-10 13-Aug-15 30-Aug-15
33 dr. Lini Delina 010981102 1-Jul-08 1-Jan-09 13-Aug-15 30-Aug-15
34 dr. Putu Dian Saraswati 011081119 1-Jan-11 1-Jul-11 16-Nov-15 29-Nov-15
35 dr. Deanty Ayu Putri Anggraeni 010981143 1-Jan-10 1-Jul-10 16-Nov-15 29-Nov-15
36 dr. Nazara Agustina 010981146 1-Jan-10 1-Jul-10 16-Nov-15 29-Nov-15
37 dr. Jean Peter Siregar 011218116312 1-Jul-12 1-Jan-13 16-Nov-15 29-Nov-15
38 dr. Areta Idarto 011081106 1-Jul-10 1-Jan-11 25-Jan-16 20-Feb-16
39 dr. I Dewa Ayu Agung Shinta Kamaya 011081112 1-Jan-11 1-Jul-11 25-Jan-16 20-Feb-16
40 dr. Berlian Beatrix Rarome 011081117 1-Jan-11 1-Jul-11 25-Jan-16 20-Feb-16
41 dr. Yeni Kusumawati 011081102 1-Jul-10 1-Jan-11 25-Jan-16 20-Feb-16
42 dr. Hidayati Utami 010981133 1-Jul-09 1-Jan-10 25-Jan-16 20-Feb-16
43 dr. Ahmad Mahfur 11081110 1-Jul-10 1-Jan-11 18-Apr-16 14-May-16
44 dr. Hakimah Maimunah 11081121 1-Jan-11 1-Jul-11 18-Apr-16 14-May-16
45 dr. Abdul Haris Khoironi 10981147 1-Jan-10 1-Jul-10 18-Apr-16 14-May-16
46 dr. Stephany Adriany 010981145 1-Jan-10 1-Jul-10 27-Jul-16 28-Aug-16
47 dr. Nurul Yudhi Prihastuty 011081108 1-Jul-10 1-Jan-11 27-Jul-16 28-Aug-16
48 dr. Heru Setiawan 011081118 1-Jan-11 1-Jul-11 27-Jul-16 28-Aug-16
49 dr. Natalia Kristanti Nugraheni 011081116 1-Jan-11 1-Jul-11 27-Jul-16 28-Aug-16
50 dr. Ilham Bondan 011081120 1-Jan-11 1-Jul-11 19-Oct-16 20-Nov-16
51 dr. Luty Dyah Prahmani 011081122 1-Jan-11 1-Jul-11 19-Oct-16 20-Nov-16
52 dr. Siti Nurazizah 011081123 1-Jan-11 1-Jul-11 19-Oct-16 20-Nov-16
53 dr. Ajeng Indriastari 011418116312 1-Jul-14 1-Jan-15 19-Oct-16 20-Nov-16
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dr. Santi Faradilla P FK UNSYIAH UNAIR
dr. Mohammad Thoufik Hidayat L FK UNS LUAR UNAIR
dr. Adrianus Harry Seputra L FK UNAIR
dr. Wahyu Wibowo L FK UNAIR
dr. Muhamad Kahfi L FK USAKTI
dr. Djuhdi Husnuddin L FK UNAIR
dr. Devi Emawanti P FK UNAIR
dr. Septria Erlitarini Sudjito P FK UNAIR
dr. Kristina Natalia Marbun P FK UKI
dr. Rafiqa Rais Akbar P FK UNHAS
dr. Desi Primayani P FK UNAIR
dr. Nurita Alami P FK UNAIR
dr. Yurie Muharmaris L FK UNAIR
dr. Theresa Laura P FK UNAIR
dr. Yuli Nurhidayati P FK UNAIR
dr. Octavianus Eka Saputra L FK UNAIR
dr. Harry Febryanto L FK UNAIR
dr. Pherenice Charisti P FK UNIBRAW
dr. Yudhi Kurniawan L FK U. Baiturrahmah
dr. Riza Maulina P FK UNAIR
dr. Dian Saraswati P FK UNIBRAW
dr. Wahyu Bagus Handoko L FK UNAIR
dr. Hedi Mustiko L FK UNAIR
dr. Dian Purnama Sari P FK UDAYANA
dr. Gina Noor Djalilah P FK UNAIR
dr. Nia Nurul Azizah P FK USAKTI
dr. Taufiqurrachman Soekardi L FK UHT
dr. Mochammad Mustafa Kahmaruddin L FK UNIBRAW
dr. Riza Noviandi L FK UNAIR
dr. Pramita Anindya Nugraheni P FK UHT
dr. I Dewa Ayu Agung Sridharaswari P FK UNAIR
dr. Ahmad Zakky Mashuri L FK UNAIR
dr. Nur Nailul P FK UNAIR
dr. Novi Rahayu Arianti P FK UNAIR
dr. Dhini Karunia Benih Asmara P FK UHT
dr. Reny Widayanti P FK UNAIR
dr. Deasy Fiasry P FK UHT
dr. Arda Pratama Putra Chafid L FK UWK
dr. Zulfito Marendra L FK UNIBRAW
dr. Elizabeth Beatrice Jonathan P FK UHT
dr. Maria Natalia Nababan P FK Methodist Ind.Medan
dr. Citra Ganesa Putri P FK USAKTI
dr. Lusiana P FK UNIBRAW
dr. Soraya Salle Pasulu P FK UNUD
dr. Senja Baiduri P FK USU
dr. Nanda Hudawwarachmah P FK UISU
dr. Anik Andris Setyaningrum P FK UNAIR
dr. Naomi Helena Paulus P FK UNDIP
dr. Imella Marcos P FK UHT
dr. Laksmi Puspita Yuniasari P FK UHT
dr. Agus Sunandar L FK UHT
dr. Sri Astuti Eviningrum P FK Atma Jaya
dr. Intani Dewi Syahti Fauzi P FK USAKTI
dr. Renyta Ika Damayanti P FK UNAIR
dr. Rewina Intan Asmarani P FK UNAIR
dr. Trias Kusuma Sari P FK UKI
dr. Andri Kurnia Wahyudi L FK UNAIR
dr. Febrina Pradita P FK UNAIR
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dr. I Wayan Putra Artha Abra Wiratara L FK UNHAS
dr. Masayu Ramadhani Polanunu P FK UNAIR
dr. Evisina Hanafiati Frans P FK UNAIR
dr. Berty Mitsu Yudhianty P FK U 11 Mar
dr. Shirley Ferlina Lasmono P FK UNAIR
dr. Hapsari Widya Ningtiar P FK Univ. Yarsi
dr. Rizky Arisanti Maharani P FK UHT
dr. Novi Dwi Anggraini P FK Univ. Mulawarman
dr. Kartika Hardiyani P FK UKI
dr. Sugi Deny Pranoto Soegianto L FK UNAIR
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dr. Agus Budiarto L FK UNAIR
dr. Tutwuri Handayani P FK UNAIR
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dr. Putri Wulan Sukmawati P FK UMM
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dr. Chasan Ismail L FK UHT
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dr. Rika Hapsari P FK UNAIR
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dr. Loysa Ladydi P FK UKI
dr. Nengcy Erlina Tasik Rerung P FK UPN Veteran JKT
dr. Imanuel Far-Far L FK UKI
dr. Dwi Lestari Avianti P FK UHT Surabaya
dr. Miriawati P FK UK Krida Wacana
dr. Chairunnisa P FK UNAIR
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dr. Uuk Riuh Kusuma Wardana L FK UWK
dr. Maria Christine Florens Sandra P FK UK Maranatha
dr. Indah Lestari P FK Univ. Mulawarman
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dr. Dwi Retno Wulandari P FK UNAIR
dr. Henry Wicaksono L FK UNAIR
dr. Seta Widya Nugraha L FK UWK
dr. Ike Wahyu Triastuti P FK UB
dr. Sylvia Wujaya P FK UHT
dr. Yesi Ermawati P FK USAKTI
dr. Garindra Wicaksono L FK UWK
dr. Sunny Mariana samosir P FK UNAIR
dr. Eka Sri Handayani P FK UNSYIAH
dr. Fahrul riza L FK UNSYIAH
dr. Lutvia Hidayati P FK UNAIR
dr. Dimarzsiana Dara Sjahruddin P FK UKI
56
FAKULTAS KEDOKTERANUNIVERSITAS AIRLANGGA
Daftar Peserta Program Tahun 2016
No Nama Lengkap (+title) Tempat Lahir Tgl lahir [hr] [bl] [th]
tgl bln th
1 dr. Fitrih Rahmawati Sultoni Malang 3-Jan-85 3 1 1985
2 dr. Aini Ariefa Samarinda 12-Jan-88 12 1 1988
3 dr. Pramita Anindya Nugraheni Surabaya 20-Jan-83 20 1 1983
4 dr. Hapsari Widya Ningtiar Bogor 21-Jan-84 21 1 1984
5 dr. Lasmauli Situmorang Fakfak 27-Jan-82 27 1 1982
6 dr. Gina Noor Djalilah Cianjur 28-Jan-82 28 1 1982
7 dr. Nengcy Erlina Tasik Rerung Sentani 4-Feb-84 4 2 1984
8 dr. Umamah Jember 20-Feb-82 20 2 1982
9 dr. Febrina Pradita Surabaya 20-Feb-88 20 2 1988
10 dr. Harry Febryanto Surabaya 23-Feb-85 23 2 1985
11 dr. Mochammad Mustafa Kahmaruddin Jakarta 27-Feb-79 27 2 1979
12 dr. Anik Andris Setyaningrum Surabaya 1-Mar-78 1 3 1978
13 dr. Sri Astuti Eviningrum Jakarta 1-Mar-78 1 3 1978
14 dr. Dewi Rahmawati Kediri 8-Mar-84 8 3 1984
15 dr. Kadek Ayu Atrie Swarita Jombang 10-Mar-88 10 3 1988
16 dr. Eko Wahyudi Kediri 12-Mar-82 12 3 1982
17 dr. Frans Maradona Pasaribu Rantauprapat 13-Mar-81 13 3 1981
18 dr. Uuk Riuh Kusuma Wardana Bangkalan 16-Mar-80 16 3 1980
19 dr. Renyta Ika Damayanti Kediri 16-Mar-84 16 3 1984
20 dr. Ratih Dwi Andini Samarinda 4-Apr-84 4 4 1984
21 dr. I Wayan Putra Artha Abra Wiratara Malang 8-Apr-80 8 4 1980
22 dr. Soraya Salle Pasulu Rautepao 10-Apr-87 10 4 1987
23 dr. Priscilla Putri Harmany Jakarta 13-Apr-87 13 4 1987
24 dr. Mardiyan Aprianto Pontianak 22-Apr-86 22 4 1986
25 dr. Dian Saraswati Surabaya 24-Apr-78 24 4 1978
26 dr. Arda Pratama Putra Chafid Ende 29-Apr-83 29 4 1983
27 dr. Citra Ganesa Putri Jakarta 11-May-86 1 5 1986
28 dr. Dian Yashifa Jambi 11-May-89 11 5 1986
29 dr. Agus Sunandar Gresik 18-May-78 18 5 1978
30 dr. Bangkit Putrawan Ujung Pandang 20-May-82 20 5 1982
31 dr. Emma Ratna Fury Kediri 21-May-85 21 5 1985
32 dr. Indah Ratna Sari Surabaya 25-May-83 25 5 1983
33 dr. Alexander Leonard Caesar Josediputra Surabaya 27-May-89 27 5 1989
34 dr. Esthy Poespitaningtyas Surabaya 31-May-81 31 5 1981
35 dr. Laksmi Puspita Yuniasari Denpasar 1-Jun-84 1 6 1984
36 dr. Nanda Hudawwarachmah Banda Aceh 1-Jun-85 1 6 1985
37 dr. Putri Wulan Sukmawati Malang 1-Jun-87 1 6 1987
38 dr. Indah Lestari Tanjung Selor 3-Jun-85 3 6 1985
39 dr. Dwi Lestari Avianti Surabaya 5-Jun-83 5 6 1983
40 dr. Kartika Hardiyani Jakarta 6-Jun-86 6 6 1986
41 dr. Nia Nurul Azizah Jakarta 12-Jun-76 12 6 1976
42 dr. Carrina Nenggar Dewanti Makassar 22-Jun-83 22 6 1983
43 dr. Adwina Nurlita Kusuma Wardhani Surakarta 24-Jun-89 24 6 1989
44 dr. Wurry Ayuningtyas Surabaya 25-Jun-88 25 6 1988
45 dr. Masayu Ramadhani Polanunu Ambon 29-Jun-84 29 6 1984
46 dr. Dinda Anes Tunjungsari Surabaya 1-Jul-88 1 7 1988
47 dr. Iin Fatimah Tulung Agung 4-Jul-85 4 7 1985
48 dr. Yuli Astika Sampit 7-Jul-84 7 7 1984
49 dr. Zulfito Marendra Jakarta 21-Jul-77 21 7 1977
50 dr. Deasy Fiasry Bengkulu 22-Jul-79 22 7 1979
51 dr. Resty Varia Tutupoho Surabaya 26-Jul-85 26 7 1985
52 dr. Loysa Ladydi Jakarta 27-Jul-81 27 7 1981
53 dr. Helen Wila Mangngi Talolena Fak-Fak 29-Jul-84 29 7 1984
54 dr. Lusiana Malang 1-Aug-78 1 8 1978
55 dr. Khadijah Rizky Sumitro Ngawi 7-Aug-90 7 8 1990
56 dr. Rizka Yulianti Selong 11-Aug-86 11 8 1986
57 dr. Agus Budiarto Kediri 17-Aug-85 17 8 1985
58 dr. Anitha Marllyin Mairuhu Ambon 18-Aug-88 18 8 1988
59 dr. Chasan Ismail Sidoarjo 22-Aug-85 22 8 1985
60 dr. Muhamad Kahfi Jakarta 1-Sep-78 1 9 1978
61 dr. Dwi Retno Wulandari Surabaya 1-Sep-79 1 9 1979
62 dr. Tutwuri Handayani Surabaya 1-Sep-82 1 9 1982
63 dr. Septria Erlitarini Sudjito Semarang 3-Sep-82 3 9 1982
64 dr. Trias Kusuma Sari Bekasi 7-Sep-87 7 9 1987
65 dr. Rewina Intan Asmarani Mataram 8-Sep-87 8 9 1987
66 dr. Reny Widayanti Surabaya 14-Sep-79 14 9 1979
67 dr. Hedi Mustiko Lamongan 22-Sep-83 22 9 1983
68 dr. Yurie Muharmaris Surabaya 29-Sep-84 23 9 1984
69 dr. Shirley Ferlina Lasmono Surabaya 24-Sep-87 24 9 1987
70 dr. Sugi Deny Pranoto Soegianto Surabaya 26-Sep-87 26 9 1987
71 dr. Rika Hapsari Lampung 1-Oct-88 1 10 1988
72 dr. Chairunnisa Jakarta 2-Oct-85 2 10 1985
73 dr. Dina Aristiya Sumarno Tarakan 6-Oct-83 6 10 1983
74 dr. Siti Wahyu Windarti Sumenep 11-Oct-88 11 10 1988
75 dr. Andri Kurnia Wahyudi Banyuwangi 12-Oct-81 12 10 1981
76 dr. Ahmad Zakky Mashuri Sidoarjo 15-Oct-79 15 10 1979
77 dr. Berty Mitsu Yudhianty Jakarta 16-Oct-82 16 10 1982
78 dr. Elizabeth Beatrice Jonathan Malang 22-Oct-84 22 10 1984
79 dr. Andi Rahadian Prajitno Surabaya 24-Oct-86 24 10 1986
80 dr. Octavianus Eka Saputra Grobongan 26-Oct-78 26 10 1978
81 dr. Miriawati Pontianak 28-Oct-81 28 10 1981
82 dr. Rizky Arisanti Maharani Surabaya 30-Oct-87 30 10 1987
83 dr. Novi Dwi Anggraini Balikpapan 2-Nov-85 2 11 1985
84 dr. Wahyu Bagus Handoko Sidoarjo 4-Nov-82 4 11 1982
85 dr. Novi Rahayu Arianti Probolinggo 5-Nov-79 5 11 1979
86 dr. Riza Noviandi Gresik 5-Nov-85 5 11 1985
87 dr. Dhini Karunia Benih Asmara Samarinda 8-Nov-80 8 11 1980
88 dr. Dyah Wikanesthi Surabaya 9-Nov-88 9 11 1988
89 dr. Imanuel Far-Far Ambon 17-Nov-86 17 11 1986
90 dr. Wahyu Wibowo Tulungagung 20-Nov-76 20 11 1976
91 dr. Imella Marcos Surabaya 21-Nov-83 21 11 1983
92 dr. Mohammad Thoufik Hidayat Plaju 1-Dec-73 1 12 1973
93 dr. Desy Nurrosalia Wisnuwardani Malang 2-Dec-82 2 12 1982
94 dr. Maria Natalia Nababan Medan 5-Dec-82 5 12 1982
95 dr. Taufiqurrachman Soekardi Pamekasan 6-Dec-79 6 12 1979
96 dr. I Dewa Ayu Agung Sridharaswari Denpasar 6-Dec-86 6 12 1986
97 dr. Intani Dewi Syahti Fauzi Bogor 7-Dec-86 7 12 1986
98 dr. Rendi Aji Prihaningtyas Surabaya 10-Dec-88 10 12 1988
99 dr. Candra Maulana Surabaya 12-Dec-84 12 12 1984
100 dr. Senja Baiduri Seibamban 14-Dec-84 14 12 1984
101 dr. Naomi Helena Paulus Denpasar 15-Dec-78 15 12 1978
102 dr. Maria Christine Florens Sandra Bandung 20-Dec-87 20 12 1987
103 dr. Adrianus Harry Seputra Malang 21-Dec-84 21 12 1984
104 dr. Riza Maulina Surabaya 23-Dec-83 23 12 1983
105 dr. Nur Nailul Ujung Pandang 26-Dec-82 26 12 1982
106 dr. Evisina Hanafiati Frans Surabaya 28-Dec-82 28 12 1982
107 dr. Henry Wicaksono
108 dr. Seta Widya Nugraha
109 dr. Ike Wahyu Triastuti
110 dr. Sylvia Wujaya
111 dr. Yesi Ermawati
112 dr. Garindra Wicaksono
113 dr. Sunny Mariana samosir
114 dr. Eka Sri Handayani
115 dr. Fahrul riza
116 dr. Lutvia Hidayati
117 dr. Dimarzsiana Dara Sjahruddin
118 dr. Amelia Sholikhah
119 dr. Raden Muhammad Zulfan Jauhari
120 dr. Claudia Magdalena Felisia Kurube
121 dr. Lenardo Ferryanto M Samadhi
122 dr. Rizka Arifani
123 dr. Vininsia Merry Laura
124 dr. Rayi Kurnia Perwitasari
125 dr. Fauziah Pratiwi
126 dr. Mega Malynda
127 dr. Ni Made Indah Dwijayanti Atmaja
128 dr. Muhammad Shofi Rafsyanjani
129 dr. Martini

Daftar PPDS Dan Lulusan 2018

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Daftar PPDS Dan Lulusan 2018

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PROGRAM PENDIDIKAN DOKTER SPESIALIS ANAK

FAKULTAS KEDOKTERANUNIVERSITAS AIRLANGGA 1-Nov-20

Karena melahirkan maka masuk 1 Juli 2012

Timika-Papua Jl.Ahmad Yani No.8/92, Timika-Papua

Daftar Lulusan PPDS

1 I Ketut Alit Utamayasa,dr.

2 Maria Magdalena Sulistiowati Sastosa,dr.

5 Tri Lestari Rahayu,dr.

6 Martono Tri Utomo

7 Trijuni Andiharti D,dr.

8 Haryudi Aji Cahyono,dr.

11 Bagus Setyoboedi, dr. L 18-Aug-1969 FK UNAIR Depkes 140349202 1-Jan-2001 1-Jul-2000

12 Eko Sulistijono, dr. L 25-Jan-1970 FK UNAIR Swadana "-" 1-Jan-2001 1-Jul-2000

16 Mia Ratwita, dr. P 24-Jan-1973 FK UNAIR Diknas 132229722 1-Jul-1999 1-Jan-1999

17 Alfredo Hariadi, dr. L 27-Mar-1964 FK UGM Depkes 140247191 1-Jan-1999 1-Jul-1998

18 Roedi Djatmiko, dr. L 1-May-1967 FK UNAIR TNI 1910056770567 1-Jan-2000 1-Jul-1999

21 M Nasiruddin, dr. L 31-Mar-68 FK UNAIR Swadana "-" 1-Jul-2000 1-Jan-01

23 Ahmad Fauzin, dr. L 23-Apr-67 FK UNAIR Swadana "-" 1-Jul-99 1-Jan-00

26 Lusiana Kartininingsih, dr. P 31-Dec-73 FK UNAIR Swadana "-" 1-Jul-99 1-Jan-00

27 Anita Kartika Sari,dr. P 28-May-68 FK UNAIR Depkes 140349818 1-Jan-01 1-Jul-01

28 Rini Andri Astuti,dr. P 27-May-68 FK UNAIR Depkes 140344994 1-Jul-00 1-Jan-01

29 Muhammad Rizal Altway,dr. L 15-Apr-68 FK UWK Depkes 140352865 1-Jul-00 1-Jan-01

30 Dyah Retno Wulan,dr. P 12-Oct-69 FK UNAIR Depkes 140349819 1-Jul-00 1-Jan-01

31 Retno Wisanti P 1-Sep-66 FK UI TNI 30234912 1-Jan-01 1-Jul-01

32 Hartojo L 12-Mar-72 FK UNAIR Swadana "-" 1-Jan-01 1-Jul-01

33 Lisa Anggraini Subrata,dr. P 14-Jul-74 FK UNAIR Swadana "-" 1-Jul-02 1-Jan-03

34 Ahmad Yuniari Heryana,dr. L 16-Jun-74 FK UNAIR Diknas 132310815 1-Jan-01 1-Jul-01

35 Tri Dyah Rumanti,dr. P 18-May-69 FK UNIBRAW Swadana "-" 1-Jul-01 1-Jan-02

36 Lucia Pudiastuti Ratnaningtyas,dr. P 16-Jun-71 FK UNAIR Swadana "-" 1-Jan-02 1-Jul-02

37 Poernomo Ismoe Kartiko,dr. L 13-Apr-68 FK UNAIR Swadana "-" 1-Jul-01 1-Jan-02

38 Mira Irmawati,dr. P 16-Mar-75 FK UNIBRAW Swadana "-" 1-Jan-02 1-Jul-02

39 Maretha Sukmawardani,dr. P 3-Mar-75 FK UNAIR Swadana "-" 1-Jan-03 1-Jul-03

40 Irene Ratridewi,dr. P 24-Jun-73 FK UNIBRAW Swadana "-" 1-Jan-02 1-Jul-02

41 Dini Adityarini,dr. P 4-Mar-70 FK UNAIR Swadana "-" 1-Jan-02 1-Jul-02

42 Gede Utomo,dr. L 11-Jul-71 FK UNAIR Swadana "-" 1-Jan-01 1-Jul-01

44 Dwiyanti Puspitasari,dr. P 16-Oct-74 FK UNAIR Swadana "-" 1-Jul-01 1-Jan-02

46 Akira Prayudijanto,dr. L 8-Feb-72 FK UNIBRAW Swadana "-" 1-Jul-03 1-Jul-03

47 Risky Vitria Prasetyo,dr. P 14-Sep-77 FK UNAIR Swadana "-" 1-Jul-03 1-Jul-03

48 Zainuddin Hamidi,dr. L 12-Feb-68 FK UNAIR TNI 11930095430268 1-Jan-02 1-Jul-02

49 I Nyoman Sudiatmika,dr. L 16-Mar-75 FK UNAIR Depkes 140355703 1-Jan-02 1-Jul-02

50 Lita Siulan Tanang,dr. P 23-Nov-67 FK UWK Swadana "-" 1-Jul-01 1-Jan-02

51 Prastiya Indra Gunawan,dr. L 29-Apr-76 FK UNAIR Swadana "-" 1-Jul-03 1-Jan-04

52 Raihan,dr. P 10-Jun-68 FK Syiah Kuala AcSwadana "-" 1-Jul-02 1-Jan-03

53 Ivijanthi Meriastuti,dr. P 24-Mar-73 FK ATMAJAYA Swadana "-" 1-Jul-02 1-Jan-03

54 Edim Hartati,dr. P 16-Jan-68 FK UNIBRAW Swadana "-" 1-Jul-03 1-Jan-04

55 Zahrah Hikmah,dr. P 24-Apr-70 FK UNAIR Swadana "-" 1-Jan-04 1-Jul-04

56 Maria C Shanty,dr. P 5-Apr-74 FK UNAIR Swadana "-" 1-Jul-01 1-Jan-02

57 Rulik Rufiati,dr. P 31-Dec-75 FK UNAIR Depkes 140359683 1-Jul-03 1-Jan-04

58 Andy Darma,dr. L 15-Nov-71 FK UNAIR Swadana "-" 1-Jan-04 1-Jul-04

59 Nur Aisiyah Widjaja,dr. P 31-Dec-67 FK UWK Swadana "-" 1-Jan-04 1-Jul-04

60 Taufiqur Rachman,dr. L 1-Dec-71 FK UNAIR Swadana "-" 1-Jan-04 1-Jul-04

61 Bony Pramono,dr. L 29-Feb-76 FK UNAIR Swadana "-" 1-Jan-04 1-Jul-04

62 Deddy Iskandar,dr. L 11-Feb-74 FK UNAIR Swadana "-" 1-Jul-04 1-Jan-05

63 dr. Anas Yamien L 1-Apr-68 FK UNAIR Depkes 140350526 1-Jan-03 1-Jul-03

64 dr. Diana Amilia S P 18-Dec-75 FK UNAIR Swadana "-" 1-Jan-03 1-Jul-03

66 dr. Aty Firsiyanti P 29-Jan-76 FK UNAIR Swadana "-" 1-Jan-04 1-Jul-04

67 dr. Roosnawati M P 3-Oct-64 FK UNAIR POLRI "030241441 1-Jul-04 1-Jan-05

68 dr. Amor Peraten G L 4-Dec-73 FK UNAIR Swadana "-" 1-Jul-04 1-Jan-05

69 dr. Virany Diana P 26-Aug-77 FK UNAIR Swadana "-" 1-Jul-04 1-Jan-05

71 dr. Annie Kusumadewi P 16-Feb-74 FK UNAIR Swadana "-" 1-Jan-05 1-Jul-05

72 dr. Hetty Listyandarini P 20-Apr-68 FK UNAIR TNI "1920048510468 1-Jul-04 1-Jan-05

73 dr. Anis Amiranti P 29-Jul-77 FK UNAIR Swadana "-" 1-Jan-05 1-Jul-05

75 dr. Dyahris Koentartiwi P 8-Apr-74 FK UNIBRAW Swadana "-" 1-Jul-05 1-Jan-06