I can't figure out the acronym on it "A" on top "G" on the right "H" on bottom and "P" on the left...there is a number 19 in the centre. The back says "sterling" and below is B.S.
P.A.G.H.
I found those initials belong to "Physician Assistants for Global Health. They do have an annual conference, but I don't know how long this organization has been around.
Congrats on your find.
For PGAH, I have found some results, but they all have to do with animal hospitals: Paradise Garden Animal Haven, Peach Grove Animal Hospital, & Pine Grove Animal Hospital
If AGHP, then could be Axially Grooved Heat Pipe.
And if PAGH, then Pakistan Association of Greater Houston (Texas).
APGH comes back with Association Post Graduate Homoeopathy and Adam Park Guild House.
AHPG comes back as Ad Hoc Project Group, which has a LOT of further results.
For all we know, we're supposed to be starting with the bottom letter. Last night I found a combination that referred to an airport in Alaska. Now I can't find that reference.
And all of this is assuming the letters stand for English words!! One result last night came back all in German, though I cannot find it today.
.....Now, in how many different ways can we twist the 19 around?!?!?
I found A.G.H.P as an acronym for something in the British airforce...just doesn't say what the acronym stands for....by the looks of the back it was a pin/medal