LANSING, Mich. -- Judge Rosemarie Aquilina sentenced Larry Nassar, 54, to 40-175 years in prison for seven counts of criminal sexual conduct in the first degree.

He must also pay restitution to the survivors in an amount to be determined.

Sentencing followed 7 days of victim impact statements. 156 survivors addressed the court in person, via video or via statement read to the court.

Nassar was an osteopathic sports physician at Michigan State University and USA Gymnastics.

Attorney General Schuette initiated his first charges against Nassar on November 22, 2016, and the second round of charges occurred on February 22, 2017.

Nassar pleaded guilty to seven felony counts of criminal sexual conduct in the first degree on November 22, 2017 in Ingham County, and to three felony counts of criminal sexual conduct in the first degree in Eaton County on November 29, 2017.

Nassar will next appear in Eaton County on January 31, 2018 in front of 56th Circuit Court Judge Janice Cunningham.