The perfect gift for any Nurse or Doctor. Give that special Nurse or Doctor a gift they will remember with this colorful charm necklace. The necklace fastens with a lobster-claw clasp for easy on and off. 18" length expandable to 20". Lobster claw clasp in front for easy charm change out, making a colorful statement for any occasion! These lovely charm necklaces are RoHS certified and meet worldwide jewelry standards. All pieces come packaged in a gift box, making them ready-to-give wonderful gifts.