This beautiful anti tarnish Sterling Silver Licensed Vocational Nurse pendant makes the perfect gift for any LVN grad, from the recent graduate to the seasoned nursing professional. Crafted by master jewelers, this quality charm 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 pendant is suspended from a strong sterling silver cable necklace (in your choice of 16", 18" or 20").