- dr. Agustin Kusumayati, M.Sc., Ph.D (unsur Pemerintah).
- dr. Supriyanto, Sp.B., FINACS, M.Kes. (unsur Kolegium).
- dr. Imam Ghozali, M.Kes, SpAn-TI, Subsp.MN(K) (unsur Profesi).
- Abdur Rahman, S.Si., Apt. (unsur Profesi).
- Megawati Santoso, Ph.D (unsur Masyarakat).
- Dr. Drs. Mohammad Agus Samsuddin, M.M. (unsur Masyarakat).