The Licensed Practical Nurse pin is 1" in diameter. This smart looking design features a caduceus on a navy blue cross and goldtone textured field, surrounded by a white ring and the words"Licensed Practical Nurse" These LPN pins are more often used in Texas and California but may be used in other states or countries. Beautiful hand crafted cloisonne jewelry. Each pin is individually handmade using old world craftsmanship. Painstaking attention to detail and fine gold plating enhance each pin and provide a distinguished appearance. All pins are sold in distinctive display packaging. Uses safetypin style backing