A doctor suspected in four Omaha killings waived extradition in southern Illinois on Wednesday and will return to Douglas County to face four first degree murder charges.

40 year old Anthony Garcia appeared Wednesday in Union County court for a 15-minute hearing. 

Garcia wore grey striped scrubs with orange slippers. His legs were shackled and his hands were cuffed at his waist.  He said little during the appearance, offering short responses to a judge while leaning on his elbows at times at the defense table.

He's being held without bond on suspicion of involvement in the killings of a Creighton University doctor and his wife two months ago and the murders of an 11-year-old boy and his family's housekeeper in 2008.

Dr. Roger Brumback and the boy's father, Dr. William Hunter, both fired Garcia from his residency at Creighton in 2001.  

Douglas County Attorney Don Kleine tells 1110 KFAB says Garcia will be back in Omaha to be arraigned either next Monday or Tuesday.  He also tells KFAB that are enough aggravating circumstances to warant the death penalty.