This beautiful anti tarnish Sterling Silver Licensed Practical Nurse charm with necklace makes the perfect gift for any LPN grad, from the recent graduate to the seasoned professional. Crafted by master jewelers, this quality lapel pin features high polished letters and a gently diamond cut medical caduceus. Measuring approximately 1 inch and packaged in a gift box, this is the ultimate recognition gift for the dedicated nursing professional. The charm is on a sturdy sterling silver diamond cut cable necklace (in your choice of 16", 18" or 20").