American Heroes 925 Sterling Silver Caduceus RN Charm Registered Nurse Necklace nursing occupational acronym RN charm pendant necklace in block initial letters with the caduceus medical alert symbol as backdrop carefully handcrafted with authentic 925 sterling silver in perfect polished finish comes with free special gift packaging made in the USA yet offered at factory direct jewelry price ships within 24 hours from the manufacturer directly to the customers You can return this item for any reason and get a full refund: no shipping charges. The item must be returned in new and unused condition. Go to Your Orders to start the return Print the return shipping label Ship it!