Knight Commander Cross of the Order of St. Gregory the Great (civilian division)
This award is bestowed by the Pope upon Cathloic men and women in recognition of their personal service to the Holy See and Catholic Church.
I learned about what those large medallions worn on the torso of dress uniforms of nobles and officers. They are "stars" and are awarded at higher grades of medals as such-and-such medal "with star."
Obverse
Reverse
Order of St. Gregory
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Order of St. Gregory
Michael Reese Much FRMS EMS Bethlehem, Pennsylvania, USA