Information Request Form

Section:	Main.DRUG DEPENDENCE.AntiDepressant Drug Dependence.Long-Term Use Weaning Method.DextroMethorphan (DM)..Quinidine Combination..Patent..Licensee
Code:	62556
Product:	USA. A
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest:	LICENSEE
* If you are not linked to any company or organization complete at least this field