Larry Nassar gets another 40 to 125 years in sex abuse case

Larry Nassar, the former Olympic gymnastics and Michigan State University doctor accused of molesting 265 girls and women over two decades, was sentenced to another 40 to 125 years in prison on Monday for molesting three of the victims under the guise of medical treatment.

Eaton County Court Judge Janice Cunningham said she didn't believe Nassar — who as recently as last month was claiming his invasive pelvic procedures were not sexual — was truly remorseful.

"I'm not convinced that you truly understand that what you did was wrong and the devastating impact you have had on the victims, their families and friends," the judge said. "You are in denial. You don't get it."

Barring appeals, the proceeding in Michigan's Eaton County Court marks the end of the criminal cases against Nassar and caps an extraordinary outpouring from more than 200 former patients who gave impact statements during nine emotional days of hearings.

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Key names in the Nassar sexual abuse case fallout
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Key names in the Nassar sexual abuse case fallout

Former doctor Larry Nassar was sentenced to up to 175 years in prison for the sexual abuse he committed on over 150 gymnasts.

(Photo credit should read JEFF KOWALSKY/AFP/Getty Images)

MSU president Lou Anna Simon announced her resignation on January 24. 

(Photo by Scott Olson/Getty Images)

MSU athletic director Mark Hollis resigned on January 26.

(Photo by Drew Angerer/Getty Images)

USOC CEO Scott Blackmun called for the entirety of the USA Gymnastics board to step down. 

(Photo by Maxx Wolfson/Getty Images)

Head basketball coach Tom Izzo is under scrutiny after several of his former players have been accused of sexual misconduct while at MSU. 

(Photo by Rey Del Rio/Getty Images)

Head football coach Mark Dantonio called claims that he mishandled sexual assault allegations as "completely false."

(Photo by Adam Ruff/Icon Sportswire via Getty Images)

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"The words expressed by everyone...have impacted me to my innermost core," Nassar said, looking gaunt in an orange jail jumpsuit. "The visions of your testimonies will forever be present in my thoughts."

Although Nassar's fate is sealed, the fallout is far from over. The U.S. Olympics Committee, USA Gymnastics, MSU and even the FBI face lingering questions about whether they could have done more to stop Nassar, and several investigations are under way.

Victims say they reported Nassar as far back as 1997 and were dismissed, and prosecutors say that should be a wakeup call for everyone.

"We must start believing by victims," Assistant Attorney General Angie Povilaitis said in stirring remarks before the sentence was handed down. "We must stop blaming victims, stop blaming parents."

"The shame and the blame belong on one person: the defendant," she added.

27 PHOTOS
Victims of Larry Nassar confront him in court
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Victims of Larry Nassar confront him in court
Abuse victim Jessica Thomashow addresses former Michigan State University and USA Gymnastics doctor Larry Nassar during the sentencing phase in Eaton, County Circuit Court on January 31, 2018 in Charlotte, Michigan. The number of identified sexual abuse victims of former USA Gymnastics doctor Larry Nassar has grown to 265, a Michigan judge announced Wednesday as a final sentencing hearing commenced. Prosecutors said at least 65 victims were to confront Nassar in court, in the last of three sentencing hearings for the disgraced doctor who molested young girls and women for two decades in the guise of medical treatment. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Abuse victim Jessica Thomashow addresses former Michigan State University and USA Gymnastics doctor Larry Nassar during the sentencing phase in in Eaton, County Circuit Court on January 31, 2018 in Charlotte, Michigan. The number of identified sexual abuse victims of former USA Gymnastics doctor Larry Nassar has grown to 265, a Michigan judge announced Wednesday as a final sentencing hearing commenced. Prosecutors said at least 65 victims were to confront Nassar in court, in the last of three sentencing hearings for the disgraced doctor who molested young girls and women for two decades in the guise of medical treatment. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Erin Blayer, a victim of former Michigan State University and USA Gymnastics doctor Larry Nassar during the sentencing phase in Eaton, County Circuit Court on January 31, 2018 in Charlotte, Michigan. The number of identified sexual abuse victims of former USA Gymnastics doctor Larry Nassar has grown to 265, a Michigan judge announced Wednesday as a final sentencing hearing commenced. Prosecutors said at least 65 victims were to confront Nassar in court, in the last of three sentencing hearings for the disgraced doctor who molested young girls and women for two decades in the guise of medical treatment. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Tiffany Dutton, ,a victim of former Michigan State University and USA Gymnastics doctor Larry Nassar stands with her husband Chad, during the sentencing phase in Eaton, County Circuit Court on January 31, 2018 in Charlotte, Michigan. The number of identified sexual abuse victims of former USA Gymnastics doctor Larry Nassar has grown to 265, a Michigan judge announced Wednesday as a final sentencing hearing commenced. Prosecutors said at least 65 victims were to confront Nassar in court, in the last of three sentencing hearings for the disgraced doctor who molested young girls and women for two decades in the guise of medical treatment. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Victim Kaylee Lorincz wipes tears as she speaks at the sentencing hearing for Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 24, 2018. REUTERS/Brendan McDermid
Victim Rachael Denhollander speaks at the sentencing hearing for Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 24, 2018. REUTERS/Brendan McDermid
Victims and others look on as Rachael Denhollander speaks at the sentencing hearing for Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 24, 2018. REUTERS/Brendan McDermid
Sterling Riethman speaks as former Michigan State University and USA Gymnastics doctor Larry Nassar listens during impact statements during the sentencing phase in Ingham County Circuit Court on January 24, 2018 in Lansing, Michigan. More than 100 women and girls accuse Nassar of a pattern of serial abuse dating back two decades, including the Olympic gold-medal winners Simone Biles, Aly Raisman, Gabby Douglas and McKayla Maroney -- who have lashed out at top sporting officials for failing to stop him. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Former Michigan State University and USA Gymnastics doctor Larry Nassar gives an impact statement during the sentencing phase in Ingham County Circuit Court on January 24, 2018 in Lansing, Michigan. More than 100 women and girls accuse Nassar of a pattern of serial abuse dating back two decades, including the Olympic gold-medal winners Simone Biles, Aly Raisman, Gabby Douglas and McKayla Maroney -- who have lashed out at top sporting officials for failing to stop him. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
LANSING, MI - JANUARY 17: Kayla Spicher delivers a victim impact statement at the sentencing hearing for Larry Nassar who has been accused of molesting more than 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 17, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 17: With her mother by her side, Kayla Spicher (R) delivers a victim impact statement at the sentencing hearing for Larry Nassar who has been accused of molesting more than 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 17, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 17: With her mother by her side, Helena Weick delivers a victim impact statement at the sentencing hearing for Larry Nassar who has been accused of molesting more than 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 17, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 17: Larry Nassar (R) listens to a victim impact statement from Tiffany Lopez during his sentencing hearing after being accused of molesting more than 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 17, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 17: Larry Nassar listens to victim impact statements during his sentencing hearing after being accused of molesting more than 100 girls while he was a physician for USA Gymnastics and Michigan State University where he had his sports-medicine practice on January 17, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 17: Larry Nassar (R) listens to a victim impact statement from Jeanette Antolin during his sentencing hearing after being accused of molesting more than 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 17, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 17: Gwen Anderson, standing with her former gymnastics coach Tom Brennen, reads a victim impact statement during Larry Nassar's sentencing hearing on January 17, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. More than 100 women and girls have accused Nassar of molesting them. (Photo by Scott Olson/Getty Images)
Victim Emma Ann Miller (C) speaks along side her mother Leslie Miller (R) at the sentencing hearing for Larry Nassar, (L) a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 22, 2018. REUTERS/Brendan McDermid
LANSING, MI - JANUARY 17: With her husband by her side, Chelsea Williams delivers a victim impact statement at the sentencing hearing for Larry Nassar who has been accused of molesting more than 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 17, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
Victim Hannah Morrow speaks at the sentencing hearing for Larry Nassar, (L) a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 19, 2018. REUTERS/Brendan McDermid
Victim Kaylee McDowell speaks at the sentencing hearing for Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 19, 2018. REUTERS/Brendan McDermid
Victim and former gymnast Aly Raisman appears before speaking at the sentencing hearing for Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 19, 2018. REUTERS/Brendan McDermid
Victim and former gymnast Aly Raisman appears before speaking at the sentencing hearing for Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 19, 2018. REUTERS/Brendan McDermid
Victim and former gymnast Bailey Lorencen speaks at the sentencing hearing for Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 22, 2018. REUTERS/Brendan McDermid
Victim Clasina Syrovy speaks at the sentencing hearing for Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 22, 2018. REUTERS/Brendan McDermid
Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, sits in the courtroom during his sentencing hearing in Lansing, Michigan, U.S., January 22, 2018. REUTERS/Brendan McDermid
Circuit Court Judge Rosemarie Aquilina presides over the sentencing hearing for Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 22, 2018. REUTERS/Brendan McDermid
Victim Clasina Syrovy speaks at the sentencing hearing for Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 22, 2018. REUTERS/Brendan McDermid
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The sentence Nassar got was a foregone conclusion; Cunningham said at the outset that she planned on following the plea agreement that Nassar made last year.

And it didn't change the fact that he is all but certain to die in prison: He was previously sentenced to 40 to 175 years in Ingham County for molesting seven girls and to 60 years in federal prison for possession of child pornography.

The charges in Eaton County stem from sexual abuse that occurred at Twistars gym, where Nassar was a fixture for years, preying on budding gymnasts with his reputation as a healer who could get any injured athlete competition-ready.

"This nice-guy doctor thrived at a place like Twistars, where cruel, harsh and abusive coaches were the norm," Povilaitis said.

"This grown adult man took sexual pleasure in the exploitation and humiliation of those young girls and teenagers," she said. "Not only did he commit those depraved acts of penetration but he liked it."

"Did he really think he was going to get away with it, abusing so many over so many years?" she added. "Maybe he did think he could beat the odds — and for years he did.

"He was believed over these children."

24 PHOTOS
Larry Nassar, former USA Gymnastics doctor, in court
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Larry Nassar, former USA Gymnastics doctor, in court
Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, stands during his sentencing hearing in Lansing, Michigan, U.S., January 24, 2018. REUTERS/Brendan McDermid
Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, stands with his legal team during his sentencing hearing in Lansing, Michigan, U.S., January 24, 2018. REUTERS/Brendan McDermid
Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, stands with his legal team during his sentencing hearing in Lansing, Michigan, U.S., January 24, 2018. REUTERS/Brendan McDermid
Prosecutor Angela Povilaitis speaks at the sentencing hearing for Larry Nassar,a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 24, 2018. REUTERS/Brendan McDermid
Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, listens as Prosecutor Angela Povilaitis speaks at his sentencing hearing in Lansing, Michigan, U.S., January 24, 2018. REUTERS/Brendan McDermid
LANSING, MI - JANUARY 16: Larry Nassar listens to victim impact statements prior to being sentenced after being accused of molesting about 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 16, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
Victim and former gymnast Aly Raisman speaks at the sentencing hearing for Larry Nassar, (L) a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, in Lansing, Michigan, U.S., January 19, 2018. REUTERS/Brendan McDermid
Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, sits in the courtroom during his sentencing hearing in Lansing, Michigan, U.S., January 19, 2018. REUTERS/Brendan McDermid
Larry Nassar, a former team USA Gymnastics doctor who pleaded guilty in November 2017 to sexual assault charges, arrives in the courtroom during his sentencing hearing in Lansing, Michigan, U.S., January 19, 2018. REUTERS/Brendan McDermid
LANSING, MI - JANUARY 17: Larry Nassar appears in court to listen to victim impact statements during his sentencing hearing after being accused of molesting more than 100 girls while he was a physician for USA Gymnastics and Michigan State University where he had his sports-medicine practice on January 17, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 17: Larry Nassar listens to victim impact statements during his sentencing hearing after being accused of molesting more than 100 girls while he was a physician for USA Gymnastics and Michigan State University where he had his sports-medicine practice on January 17, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 16: Larry Nassar listens to victim impact statements prior to being sentenced after being accused of molesting about 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 16, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 16: Larry Nassar listens to victim impact statements prior to being sentenced after being accused of molesting about 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 16, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 16: Larry Nassar appears in court to listen to victim impact statements prior to being sentenced after being accused of molesting about 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 16, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
LANSING, MI - JANUARY 16: Larry Nassar appears in court to listen to victim impact statements prior to being sentenced after being accused of molesting about 100 girls while he was a physician for USA Gymnastics and Michigan State University, where he had his sports-medicine practice on January 16, 2018 in Lansing, Michigan. Nassar has pleaded guilty in Ingham County, Michigan, to sexually assaulting seven girls, but the judge is allowing all his accusers to speak. Nassar is currently serving a 60-year sentence in federal prison for possession of child pornography. (Photo by Scott Olson/Getty Images)
Former Michigan State University and USA Gymnastics doctor Larry Nassar is seen in the 55th District Court where Judge Donald Allen Jr. bound him over on June 23, 2017 in Mason, Michigan to stand trial on 12 counts of first-degree criminal sexual conduct. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Asst. Michigan Attorney General Angela M. Povilaitis (L) speaks during the hearing of former Michigan State University and USA Gymnastics doctor Larry Nassar listen with (2nd R) defense attorneys Shannon Smith (2nd L) and Matt Newberg (R) in 55th District Court where Judge Donald Allen Jr. bound him over on June 23, 2017 in Mason, Michigan to stand trial on 12 counts of first-degree criminal sexual conduct. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Former Michigan State University and USA Gymnastics doctor Larry Nassar watches a video his interview with the police in the 55th District Court where Judge Donald Allen Jr. bound him over on June 23, 2017 in Mason, Michigan to stand trial on 12 counts of first-degree criminal sexual conduct. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Former Michigan State University and USA Gymnastics doctor Larry Nassar (C) with defense attorneys Shannon Smith (L) and Matt Newberg (R) in the 55th District Court where Judge Donald Allen Jr. bound him over on June 23, 2017 in Mason, Michigan to stand trial on 12 counts of first-degree criminal sexual conduct. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Former Michigan State University and USA Gymnastics doctor Larry Nassar is seen in the 55th District Court where Judge Donald Allen Jr. bound him over on June 23, 2017 in Mason, Michigan to stand trial on 12 counts of first-degree criminal sexual conduct. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Former Michigan State University and USA Gymnastics doctor Larry Nassar is seen in the 55th District Court where Judge Donald Allen Jr. bound him over on June 23, 2017 in Mason, Michigan to stand trial on 12 counts of first-degree criminal sexual conduct. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Former Michigan State University and USA Gymnastics doctor Larry Nassar is seen in the 55th District Court where Judge Donald Allen Jr. bound him over on June 23, 2017 in Mason, Michigan to stand trial on 12 counts of first-degree criminal sexual conduct. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Former Michigan State University and USA Gymnastics doctor Larry Nassar is seen in the 55th District Court where Judge Donald Allen Jr. bound him over on June 23, 2017 in Mason, Michigan to stand trial on 12 counts of first-degree criminal sexual conduct. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
Former Michigan State University and USA Gymnastics doctor Larry Nassar is seen in the 55th District Court where Judge Donald Allen Jr. bound him over on June 23, 2017 in Mason, Michigan to stand trial on 12 counts of first-degree criminal sexual conduct. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images)
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