That is definitely a doubled die but I have never seen it before. CONECA has 22 DDOs listed for 43-S but it is most likely DDO-004 based on the description- Medium spread North on WE, eye, nose, mouth, and chin
. That DDO is classified as Class IV Offset Hub Doubling with the second hubbing offset to the north and slightly west.
. That DDO is classified as Class IV Offset Hub Doubling with the second hubbing offset to the north and slightly west.

























