Saint Juliana sterling silver medal made in the USA. The oval medal shows her with a lily and book. She is the Patron Saint of sickness. Die striking only the finest grade solid sterling silver stock, enables the intricate details of the coined precious metal to fully show when the antique finish from hand polishing is applied to each medal. It is then highlighted by hand engraving, to display the beautiful sheen of pure sterling. Supplied with an 18" genuine rhodium plated chain in a deluxe gift box. Dimensions: 7/8" x 1/2" ( 22 mm x 14 mm)If you would like Professional Engraving for $20, call in your order to (888)664-1123, x1.