The medal's obverse bears bust of Theodore Roosevelt, facinf right. At lower right, MDCCCLVIII/ MCMXIX· / ··; signed and dated above shoulder at left, J.E. / FRASER / 19©20
The reverse bears flaming crusader's sword. Around, ROOSEVELT · MEMORIAL · ASSOCIATION / MEDAL OF HONOR; across, IF I MVST - CHOOSE / BETWEEN - RIGHTEOVSNESS / AND PEACE - I CHOOSE / RIGHTEOUVSNESS
The Theodore Roosevelt Distinguished Service Medal was established by the Roosevelt Memorial Association in 1923 to honor outstanding service in fields reflecting the work and interests of Theodore Roosevelt. The first medals were presented by the President at the White House. For many years thereafter, medals were awarded on Roosevelt's birthday, October 27th, at "Roosevelt House," a brownstone at 28 East 20th Stree in New York City. Medals were awarded annually from 1923 to 1967, with exceptions for 1941 and 1944, and since 1967 on an occasional basis.
The circular medal measures 83mm in diameter and was struck in bronze by the Medallic Art Company of New York City. No mintage is reported.
Many thanks to Chris Bach for the write-up.
References: Baxter 237, MACo 1923-002