DATA PERIJINAN

PUSKESMAS BANDARAN
STR
NO NAMA TENAGA KESEHATAN
NO
1 JAMIATUS SHOLIHAH '1612521182350712

ACH. SUAUL FAJRIH '19891226/STRTTK_35/2011/13045

2

HJ. SRI PURWANINGSIH, S.Tr.Keb '160262219-3128201

3
4 ANA RASTIKA '160252219-3032604
5 YAYUK FAUZIYAH '3521100317078834
6 EDDY DJUNAIDI '1601511203369191

WIWIT KURNIAWATI '160152120-3284691

7
8 HEKMATUL JANNAH '160152117-1361998
9 BAGUS FIRMANSYAH '160171119-3040905
10 SUPRIATIN '160262220-3185962
11 JUMAANI '160252219-1601963
12 NURUL QOMARIYAH FILLAILI '160252219-3032609
13 HAFIDATUR ROFIAH '

DIYAH AYU DWI LESTARI '160252220-3192382

14
15 DESY ARIFIANTI '1602522193123624
16 DEWI QOMARIYAH '1621622193136026
17 DEWI KARTIKA SARI '160452118-1582869

LINA LIBERTY 'P2T/202/03.14/02/II/2017

18
19 EKA USWATUN HASANAH '
20 ADI WINARTO '
21 SYAIKHUL MUNIRI '
22 IKE YULININGTIAS SUSADI '3522100117183911
23 FARIDATUL JANNAH '160152118-1581489
24 NURUL AINI '160262219-3032956
25 INDAH WAHYUNI '1602521213387536
26 AISATUN '1602521172050805

MAISAROH '1602522192448748
27
28 ITA KUSWARDANI '160152119-3156873
29 SITI NUR ARISAH '160152118-1508270

Audi Kurniawan, S.Kep. '160151117-1362021

30
31 ASTUTIK PRIMA MOCHTAR '160152117-1361995

LINDA MEGAWATI '1602522219-3032683

32
33 FIRDAUS SOLEHAH '1610621213399763

ADINDA NURUL ARIFAH '161452119-3161803

34
35 AHMAD SUGIANTO '
36 ISHARYANTO '
37 TAUFIQUR RAHMAN '
38 KOMARUDDIN '
39 NIKMATIN HASANAH '
40 ABDURROHMAN '
41 ACKHMAD KUSAIRI '3511100219146790
42 MOH. IMRON '
43 ACHMAD FAUZI '160151117-1361996
44 HABIBI AZIZ 'P2T/1109/03.02/02/III/2019

KUSNIAWATI. B 'P2T/9713/03.02/01/XII/2017
45

MOH FAIS AVIE IMRON 'P2T/9727/03.02/01/XII/2017

46

RENNY ARDIYATI NURPRATAMA '160172119-3079386

47
48 FITRIATUS SOLEHAH 'P2T/1329/03.02/01/II/2018

Moh. Rizky Cahyadi, A. Md. Kep 'P2T/03.02/01/1/2018

49

Maulinda Yuliana, A. Md. Kep '160152119-3168106

50
51 MOH. WAHDI '1601511193112946

SITI NURAINI '1602622193100084

52
53 ANIS YULITA '16202522203379887
54 SRI PUJI ASTUTIK '160252220-3377613
55 EKA KAROMAH '1602522193137394
56 RIZKA WARDANI SAFITRI '1602622203379886
57 NOVITA ANGRAINI '160252116-1192894
58 DESY INDAH FATMASARI '1602521203313683
59 Amalia Nurlita Sari, S. Tr. Kepgi '1604621172145401
60 MUSTOFA '
61 KHOIRUL A. '1601711192417672
62 JAKA ENDY IMAWARDI '160171119-3056932

FIRMANSYAH '160151118-1595729
63
64 ALI MAKKI '160151118-1595730
65 MOHAMMAD FATIR '1601711182374529
66 ASRAWI '
67 YUDHISTIRA NOOR RIADI '
68 NANANG FRADIXA '
69 MOHAMMAD ZAINI '

DIMAS HARIS MUNANDAR ASYARI 'P2T/12/03.10/01/I/2017

70
71 HERI SETIAWAN '1621611182322426

AMILINA RUFAIDA '19960728/STRA-UBAYA/2020/267281

72
73 RIRIN KUSTIAWATI '1601521203343416
A PERIJINAN TENAGA KESEHATAN
SIP/SIK
TGL TERBIT NO TGL TERBIT
3/21/2018 0 0000-00-00

12/30/2020 19891226/SIKTTK-35.28/2019/1 0037 10/23/2019

7/5/2019 09.178/432.302/YANPRIM/SIKB/IX/2017 9/12/2017

6/23/2019 09.58/432.302/YANPRIM/SIPB/IX/2019 9/24/2019

3/28/2017 42/432.302/YANPRIM/SIPD/IV/2017 4/19/2017
9/10/2020 0 1/1/1970

6/9/2020 08.195/432.302/YANPRIM/SIKP/VIII/2020 8/7/2020

7/6/2017 06.95/432.302/YANPRIM/SIKP/VI/2020 6/22/2020

8/28/2019 09.247/432.302/YANPRIM/SIKP/IX/2019 9/27/2019
1/20/2020 10.275/432.302/YANPRIM/SIKB/X/2017 10/17/2017
8/4/2019 01.6/432.302/YANPRIM/SIPB/I/2018 2/6/2018
5/9/2019 01.24/432.302.YANPRIM/SIPB/I/2020 1/6/2020

12/19/2020 07.218/432.302/YANPRIM/SIPB/VII/2020 7/7/2020

11/4/2019 06.180/432.302/YANPRIM/SIPB/VI/2020 6/19/2020

2/1/2019 0 0000-00-00
4/19/2018 13/432.302/YANPRIM/SIKPG/XII/2018 12/15/2018

2/1/2017 02/432.302/YANPRIM/SIPATLM/III/2017 3/30/2017

0000-00-00 0000-00-00
3/13/2017 01/432.302/YANPRIM/SIPDG/I/2019 1/7/2019
9/20/2018 01.23/432.302/YANPRIM/SIKP/I/2019 1/24/2019
7/15/2019 09.55/432.302/YANPRIM/SIPB/IX/2019 9/24/2019
1/10/2021 01.20/432.302/YANPRIM/SIPB/II/2021 2/2/2021
3/12/2017 10.288/432.302/YANPRIM/SIKB/X/2017 10/17/2017

4/28/2019 07.155/432.302/YANPRIM/SIKB/VII/2018 8/1/2018

10/5/2019 09.234/432.302/YANPRIM/SIKP/IX/2019 9/23/2019

10/8/2018 06.93/432.302/YANPRIM/SIKP/VI/2020 6/22/2020

3/29/2017 07.179/432.302/YANPRIM/SIKP/VII/2019 7/25/2019

4/30/2017 10.213/432.302/YANPRIM/SIKP/X/2018 10/11/2018

4/27/2019 08.266/432.302/YANPRIM/SIPB/VIII/2020 8/7/2020

2/8/2021 0 0000-00-00

4/20/2019 11/432.302/YANPRIM/SIPATLM/IX/2018 9/10/2018

3/22/2019 72/432.302/YANPRIM/SIPD/VII/2020 7/9/2020

8/17/2017 02.33/432.302/YANPRIM/SIKP/II/2019 2/7/2019

3/12/2019 06.94/432.302/YANPRIM/SIKP/VI/2019 6/22/2020

12/18/2017 06.106/432.302/YANPRIM/SIKP/VI/2020 6/24/2020

12/18/2017 06.101/432.302/YANPRIM/SIKP/VI/2020 6/23/2020

1/11/2019 07.123/432.302/YANPRIM/SIKP/VII/2020 7/3/2020

2/28/2018 08.194/432.302/YANPRIM/SIKP/III/2020 8/7/2020

1/11/2018 06.102/432.302/YANPRIM/SIKP/VI/2020 6/23/2020

7/29/2019 05.112/432.302/YANPRIM/SIKP/VI/2020 6/30/2020

4/4/2019 0000-00-00

12/10/2019 09.17/432.31=02/YANPRIM/SIKB/IX/2017 9/12/2017

12/6/2020 0 1/1/1970
4/17/2020 0 1/1/1970
6/4/2019 10.315/432.302/YANPRIM/SIPB/X/2020 10/21/2020
3/18/2020 05.82/432.302/YANPRIM/SIKB/V/2018 6/4/2018
5/25/2016 03.46/432.302/YANPRIM/SIPB/III/2020 3/5/2020
8/17/2020 0 0000-00-00
5/7/2017 03/432.302/YANPRIM/SIKPG/VII/2020 7/22/2020

12/30/2019 04.53/432.302/YANPRIM/SIKP/IV/2019 4/8/2019

3/28/2019 09.246/432.302/YANPRIM/SIKP/IX/2019 9/27/2019

9/12/2018 07.100/432.302/YANPRIM/SIKP/VII/2017 7/28/2017

11/19/2018 01.21/432.302/YANPRIM/SIKP/I/2018 1/19/2018

10/29/2018 02.32/432.302/YANPRIM/SIKP/II/2019 2/7/2019

5/1/2017 0000-00-00

10/7/2018 1/1/1970

11/17/2020 0000-00-00

10/25/2020 1/1/1970
 MASA BERLAKU KETERANGAN

2018-03-21 s/d 2023-03-21

2020-12-30 s/d 2025-12-26

2019-07-05 s/d 2024-07-05

2019-06-23 s/d 2024-06-23

2017-03-28 s/d 2022-07-16
2020-09-10 s/d 2025-09-10

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2017-07-06 s/d 2022-07-06

2019-08-28 s/d 2024-08-28
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2017-02-01 s/d 2022-02-23

0000-00-00 s/d 0000-00-00

2017-03-13 s/d 2022-08-03
2018-09-20 s/d 2023-09-20
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2021-01-10 s/d 2026-10-16
2017-03-12 s/d 2022-07-12

2019-04-28 s/d 2024-04-28

2019-10-05 s/d 2024-10-05

2018-10-08 s/d 2023-10-08

2017-03-29 s/d 2022-03-29

2017-04-30 s/d 2022-04-30

2019-04-27 s/d 2024-04-27

2021-02-08 s/d 2026-02-28

2019-04-20 s/d 2024-04-20

2019-03-22 s/d 2024-06-17

2017-08-17 s/d 2022-08-17

2019-03-12 s/d 2024-01-30

2017-12-18 s/d 2022-12-19

2017-12-18 s/d 2022-06-17

2019-01-11 s/d 2024-01-11

2018-02-28 s/d 2023-04-26

2018-01-11 s/d 2023-08-09

2019-07-29 s/d 2024-07-29

2019-04-04 s/d 2024-04-04

2019-12-10 s/d 2024-12-10

2020-12-06 s/d 2025-09-10

2020-04-17 s/d 2025-04-17
2019-06-04 s/d 2024-06-04
2020-03-18 s/d 2025-03-18
2016-05-25 s/d 2021-05-25
2020-08-17 s/d 2025-12-09
2017-05-07 s/d 2022-05-07

2019-12-30 s/d 2024-12-30

2019-03-28 s/d 2024-03-28

2018-09-12 s/d 2023-09-12

2018-11-19 s/d 2023-11-19

2018-10-29 s/d 2023-10-29

2017-05-01 s/d 2022-01-03

2018-10-07 s/d 2023-10-07

2020-11-17 s/d 2025-07-28

2020-10-25 s/d 2025-10-25