NIK Sura Izin Tgl. mulai berlaku SIPB Tgl. Tahun Bida NPW No.

Rek
Nam Praktek (SIPB) selesai Lulus n P
a berlaku
SIPB

1. Y. E. ALFAN 5307044105930 503/PTSP/330/XI/2022 09/11/202 01/05/20 2014 1

MEILAN 001 2 27 Atap

2. MARIA 5307044302940 503/PTSP/335/XI/2022 11/11/202 03/02/20 2015 1 0_.___.___._

VEBRIANA 001 2 27 Atap ___.___
SARENG

3. MARIA 5307057007880 503/PTSP/342/XI/2022 21/11/202 30/07/20 2010 1 0_.___.___._

ADRIANCE 001 2 27 Atap ___.___
FATMAWATI
JAJO

4. MARIA DA 5310016704730 503/PTSP/115/IV/2022 19/04/202 27/01/20 0 1

LONTA 001 2 26 Atap

5. Melania Dua 5307047112910 503/PTSP/96/IV/2022 12/04/202 31/12/20 2013 1

Nona 004 2 25 Atap

6. ANNA MARIA 5307045702680 503/PTSP/116/IV/2022 19/04/202 17/02/20 2019 1

ANTONIA 002 2 25 Atap
MANJELLA
ELPU

7. ELISABETH 5307056009790 503/PTSP/120/IV/2022 19/04/202 20/09/20 2019 1

KURNIAWATI 001 2 25 Atap
KEPE

8. ELISABETH 5307045605870 503/PTSP/95/IV/2022 12/04/202 06/05/20 0 1

BLUTUK 001 2 26 Atap

9. YANETI GAH 5307086501790 503/PTSP/124/IV/2022 19/04/202 25/01/20 0 1

002 2 26 Atap

10. YUNIANTI 5307045906930 503/PTSP/68/III/2022 31/03/202 19/06/20 2017 1

ROSVINNY 001 2 24 Atap
NASA
11. KLEMENSIA 5307054304860 503/PTSP/56/III/2022 31/03/202 06/04/20 2011 1
OKTAVIA 004 2 25 Atap

12. ROSALINDA 5306066705940 503/PTSP/63/III/2022 31/03/202 27/05/20 2017 1

JUMIATI 002 2 27 Atap
NONA
MUNDA

13. MARIA JUNI 5307056407920 503/PTSP/302/X/2022 13/10/202 24/06/20 2016 1

ANSELA 002 2 27 Atap

14. MARIA 5307044906720 DPMPTSP.446.k.r/29/ 24/06/202 09/06/20 2019 1

ALOYSIA 001 VI/2020 0 25 Atap
ERIN

15. MARIA 5307044703950 503/PTSP/65/III/2022 31/03/202 07/03/20 2018 1

MARGARETI 003 2 27 Atap
S MONE

16. MARIA ERNI 5307154101900 503/PTSP/329/XI/2022 09/11/202 01/01/20 2014 1

DATO 002 2 27 Atap

17. VERONIKA 5307044401950 503/PTSP/336/XI/2022 11/11/202 14/02/20 2019 1

ELVINA 002 2 27 Atap

18. HELMIANTI 5307044608920 503/PTSP/328/XI/2022 09/11/202 06/08/20 2020 1

DUA KERON 001 2 27 Atap

19. ANGELUSIA 7306086702920 503/PTSP/348/XI/2022 23/11/202 27/02/20 2016 1

VIRGINIA 011 2 27 Atap

20. MARIA 5306015808820 503/PTSP/119/IV/2022 19/04/202 18/08/20 2014 1

YEANE 001 2 26 Atap
MANGSINO

21. FERONIKA 5307044208740 503/PTSP/248/VII/2022 01/08/202 02/08/20 2019 1

ANETHI 001 2 25 Atap

22. MARIA 5302015110900 503/PTSP/10/III/2023 01/03/202 11/10/20 2013 1 84.691.200

ENGGELISA 001 3 27 Atap 4-921.000
IN
RICHARDUS