Handmade with Love, this personalized Medical Assistant keychain with zipper pull lobster clasp features lead and nickel free MA Caduceus, Stethoscope, Syringe charms and genuine Czech birthstone crystal of your choice. The perfect gift for the Medical Assistant in your life! ★☆★CHOOSE your birthstone crystal at checkout (shown in 4th photo) July/Ruby is pictured Use as a zipper pull or attach to your keyring to serve as a handy and beautiful keychain. MEASUREMENTS~ 2 7/8 inches (7.2cm) long from top of lanyard to bottom of caduceus and 1 inch (25mm) wide. This keychain will arrive in an organza gift bag ready for gifting or to treat yourself! FEATURES: Lead/Nickel free: MA Caduceus pendant Stethoscope pendant Syringe pendant Personalized Czech birthstone crystal OPTIONAL Initial letter charm Keychain split ring Sturdy zipper pull/Lobster clasp Thank you for visiting my shop! Design, Description & Photographs ©Abundant Earth Works 2008-2026