A Michigan judge on Wednesday excoriated former USA Gymnastics team doctor Larry Nassar as a dangerous sexual predator and said it was her honor and privilege to sentence him to 40 to 175 years in prison for decades of crimes involving young girls.

Judge Rosemarie Aquilina of Ingham County Circuit Court imposed the sentence after she read aloud portions of a letter written by Nassar attempting to minimize his crimes as medical treatments and complaining prosecutors manipulated him into pleading guilty. The letter also attempted to apologize to his victims.

For seven days, Aquilina listened as 169 survivors and family members read victim impact statements. She assured Nassar that she had done her homework and weighed the scales of justice, and that he did not deserve to walk outside of a prison ever again.

Check out portions of Aquilinas comments to Nassar during his sentencing below.