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Is that a Griffin or logo up on the top? Similar to a family crest?
I also think I see the INITIALS E S F under the logo. COuld stand for EXPEDITIONARY SECURITY FORCE?
There were several attempting uprisings in Haiti in the early 20th centruy. One in 1915 that was short lived and another in 1917 until about 1921. The U.S. did participate in each of these campaigns but I think this medal may be French due to the logo (griffin) and the Font of the larger letters. These could have been given by the French to the American or other Foreign forces who helped to quell the uprisings.
Any more luck with the back info? MSSTE translates to a Norwegian word though. Also all of the Griffins I find face to the left (their right our left) Not the way yours is on the medal. There also appears to be a blue product on the medal, perhaps some type of enamel that has worn off. Blue, or AZURE is very popular on Norwegian and French medals. Still digging!!
Also sorry in advance I do not want to seem like a jerk but the design is called a Maltese Cross. Of course Iron Cross has too many German (WWI and WWII) links to it. Again not pompus just factual. To help us define the item.